Next Steps
Monitoring Impact
There is an increasing need to monitor and evaluate impact and distance travelled for clients. This is required by funders, Ofsted and any organisation which monitors impact of service delivery. This process can be difficult, with so many different tools out there, with each service using a different approach.

We are delighted to have trained with Wirral CAMHS and have 3 trained practitioners to deliver Next Steps Training, which gives us a tangible tool to use with our clients and holds a shared meaning and value with other services within Wirral. It using a common language amongst practitioners and clients, allowing individuals to take responsibility for the changes they want to see and effectively monitors the distance travelled. This means that we are able to take a person-centred approach to our clients.

Why we use Goal Based Outcomes
Goal based outcomes are an effective tool and empowers the client set and monitor progress, having a baseline assessment and focal point for moving forwards. This means that clients take responsibility for their own goals, which increases success.

As described by CAMHS, Goal Based Outcomes use a simple numbering scale of 0 – 10, to encourage a client to consider where they feel they are, and the progress they feel they are making, towards achieving their goals during therapeutic work.

Once a client has set the goal, our practitioners adapt the intervention support which is appropriate, to enable our client to achieve their goals, taking a facilitation approach to helping clients move forward.

Goal setting is the first, and arguably the most crucial stage within the process and looks at the clients reason for wanting support. It helps to have a clear vision of why the goal has been set and takes a step by step approach to achieving it, with information and input from the practitioner coach. Studies confirm the importance of significant client involvement in the goal setting process and that behavioural change is more likely if a client sets the goal (Wade, 1998)

Next Step cards act as a tool to help the client communicate their hopes and aspirations and what is meaningful to them. For change to be achieved and for it to be sustainable, it has to be meaningful to them; they need to value it and they need to be active in making it happen. Whilst the goal should reflect the clients wishes, it is expected it would be agreed collaboratively with the practitioner, in order to ensure it is relevant and achievable and how the practitioner can guide them towards setting their own target in a way that is realistic.

We use Next Step Cards as an baseline for all other intervention support, in addition to a stand alone intervention.