Dear ,
xxxxxx Therapy Services for your child xxxxx
Chroma carries out work with a number of client groups including children who are experiencing difficulties for a variety of different reasons. Chroma draws on more than 15 years of therapeutic practice in this field. We place great importance on professional integrity and excellent care and consideration for all parties involved in the services we offer. We have enclosed information sheets giving you some supporting information about us. This includes our Children’s Guide, which is designed to help your child understand more about therapy. We recommend that you read this with your child before they meet the therapist and their therapist can answer any other questions they may have. There is also a cartoon version available if this is more accessible. Please also find enclosed leaflets on ‘Tell us your views’ and ‘Diversity Monitoring’.
Please find the below information outlined. Complete as much information as possible and you can confirm and finalise details in your initial meeting together with the therapist.
| PERSONAL DETAILS OF CHILD | |
| Name: | DOB: |
| Home Address: | School Address: |
| Guardian: | School Contact: |
| Preferred method of contact: | Preferred method of contact: |
| OTHER HOUSEHOLD MEMBERS (CHILD & ADULT) AND OTHER SIGNIFICANT RELATIONSHIPS | ||
| Other household members | ||
| Name | Age | Relationship |
| Other significant relationships | ||
| Name | Age | Relationship |
| SESSION DETAILS | |
| Local Authority: | No. of sessions: |
| Social Worker: | Length of session: |
| Time and Place: | |
| THE THERAPIST | |
| Name: | Start date of therapy: |
| Preferred method of contact: | |
Our therapists have many years of experience working with children and are registered with and regulated by the Health and Care Professions Council (HCPC). All have “above mandatory” training requirements in the following key areas:
| v. CONFIDENTIALITY |
Your child will be encouraged to explore their particular concerns/issues through specially designed arts-based techniques. Photographs and/or recordings of your child’s creative work, including art, models, sculpts etc may be taken by the therapist during the session but will only be used for the assessment and evaluation process and/or the therapist’s clinical supervision. All information about your child and their work remains anonymous at all times.
Sessions will be confidential unless your child or someone else is at risk of serious harm. In this case your child will be assured that the most appropriate decisions will be made regarding their safety or the safety of others. If your child needs additional help and support this will be discussed during the sessions and the involvement of parents will be encouraged to determine the right options for your child. All sessions are conducted in private rooms and only include your child and the therapist.
It is important you are aware of information passed onto us by a third party such as your Local Authority. In order to do our work, we will have been provided with information, some of which may be sensitive. Please be assured we will not share this other than with the therapist with whom you will be working
Whilst keeping the best interests of your child in mind at all times, you have the right to know what information we hold about you, to correct it if it is wrong and to object to us using it to provide therapy. You also have the right to ask for the information to be deleted at any time. Any requests should be made in writing or by email to moc.amorhceraew@opd.
| NOTE KEEPING |
Therapists will keep a record of information about your child, such as details about the sessions. Under exceptional circumstances it may be possible to view information the therapist’s records about your child via a request in writing to Chroma’s Clinical Services Director, Jo Godsal. They will then carry out an assessment of your request and a decision will be made in the best interest of your child. A decision will be made no more than 30 days after your request has been received. Chroma may keep records of other agencies’ confidential information about your child and if so this is always retained securely and complies with all aspects of GDPR
| CANCELLATION POLICY |
You and your child’s therapist will need to discuss planned breaks and holidays in advance. If your child is unable to make a session, please give the therapist as much notice as possible. Less than 48 hours’ notice will incur a one hour charge, less than 24 hours will incur a two hour charge. It may sometimes be possible for the therapist to arrange another time in that week for the session and you should discuss this with the therapist in the first instance. Where a session can’t be rearranged the therapist will still be available for you during the allocated time and you are free to contact them. If the therapist is unable to make a session for any reason, they will let you know as soon as possible and this will not count as one of the sessions.
If, for any reason, there are 3 unplanned missed sessions in a row, the therapist will arrange a meeting with you and the social worker to review the work and decide together how best to support the therapy. It may be necessary to change the time or place, or to bring the therapy to an end if there is no engagement.
| PARENTAL CONSENT |
As stated above in the confidentiality section, sessions may be photographed/video/audio recorded as an important part of practice and can be used for professional purposes such as discussions with other professionals involved in care provision, supervision for quality assurance, job interviews and training. The recordings are kept securely according to Chroma’s Data Protection policy.
Please tick all that apply:
I give consent for therapy
I confirm that the therapist is able to record my child’s music, drama/ art work
I give permission to the therapist to use these photographs in presentations and other training material
I give permission to the therapist to write about the work, as long as the child’s confidentiality and anonymity is protected at all times.
Child’s name:
Parent/Guardian name: Signature: Date:
Therapist’s name: Signature: Date:
