Talking Endings with children and young people; sharing practice across mental and physical health care

7th December 2016 7th December 2016


Anna Freud National Centre for Children & Families Map
One day
10:00 - 17:00



(Free) Please see below for how to apply

About this course

When and how do you discuss the limits of and end of treatment with young people affected by a mental health concern who have not recovered or a physical illness when cure is not likely?

The challenge:

  • There is increasing interest in being more explicit about the limits of treatment fuelled both by concerns about over treatment or ineffective treatment doing harm in parallel to concern abouthow to focus scarce resources most effectively  
  • Current professional trainings rarely address the issue of how to engage endings in the context of not everyone being “better” at the end of treatment .
  • For some professional groups there is a belief that it is not appropriate to even acknowledge the possibility of  endings in this way suggesting its is harmful or anti-therapeutic in some way
  • Talking about endings in the context of “treatment failure” taking into account the developmental stage of a child or young person and their family context is extremely challenging for all concerned.

Who we are:

  • We are mental and physical health professionals who accept it is crucial to start to find ways to have these conversations. Whilst including palliative care experts, we are interested in a wide range of contexts and not just when the condition is physically life limiting.
  •  Miranda Wolpert (Professor in Evidence Based Practice, Child Mental Health)
  •  Maggie Bisset (Nurse Consultant Palliative Care & End of Life Lead, CNWL)
  •  Jonathan Martin (Consultant Physician in Palliative Medicine & Clinical Lead Palliative Care, CNWL)

What we hope from the day:

We want to begin a conversation around this and explore with others with a shared clinical interest (using discussion, high fidelity role play and consideration of presented material):

  • Current practice and dilemmas in relation to conceiving  and discussing endings
  • Ethical and pragmatic reasons for having such conversations and potential barriers to doing so
  • Possible ways to develop our clinical vocabulary in order to have better conversations and enhance our clinical techniques, including ifsuch issues can be  raised at the beginning of treatment
  • How we might develop a training rich with simulation to share best practice with others working in mental or physical health care

Who the day is for

Senior Mental or Physical Health practitioners and GPs interested in sharing experience. It is hoped that those who join on the day may become some of the trainers going forward. 

How to apply

Please fill in the application form and return to by Monday, 7th November at the latest.