Written 06.23. – Clare Walters

Passed by board 06.23

Review due 06.24

TWM practitioners are expected to take a holistic, integrative approach to client assessment. This means that they should try to understand each individual’s specific needs and provide information on, or refer them to, the most holistic, suitable, and personalised care available for them.

TWM relies on the clinical judgement of their practitioners.

Some people will contact TWM or be referred to us with a specific problem and their practitioner will be able to help them resolve it over their course of TWM. For other people, learning the TWM toolkit will be just one part of their healing journey and they will need support beyond what it offers. If their practitioner assesses that this is the case they will recommend the client reaches out to relevant bodies. Other people may not be well enough at the time to work with the TWM toolkit in which case their practitioner will discuss this with them and signpost them to more appropriate support.

All TWM practitioners are expected to consult with their own supervisor whenever they have any safeguarding concerns, or just doubts regarding the most appropriate care for a client.

In the assessment session TWM practitioners must review the client care letter, including policies on privacy, confidentiality and safeguarding with their client. This may be as quick as asking the client if they have any questions regarding these topics. They will also collect emergency contact details.

Practitioners should identify if the client is psychotic, manic, an in-patient, or under the influence of drugs or in any other way not ready to embark on a course of TWM. Once identified, the goal of the session will be to encourage the client to get appropriate help.

If a practitioner feels particularly worried about a client, they may want to check with them if they have a plan should they feel unsafe. This plan may include: contacting someone they can trust, calling a helpline, booking an emergency GP appointment, or going into A&E. TWM practitioners should signpost clients, where they feel this is needed, and then inform their supervisor or the safeguarding lead of their actions.