When to Stop Treatment: Building Confidence in Letting Go

i-THRIVE Academy Practice Development Module

The THRIVE Framework sets out that treatment should involve explicit agreement at the outset as to what a successful outcome would look like, how likely this is to occur by a specific date, and what would happen if this was not achieved in a reasonable timeframe. Feeling comfortable with “endings” has been raised as a concern for a number of i-THRIVE implementation sites, particularly within the context of some children and young people not being “better” at the end of treatment.

To support sites wanting to work in a THRIVE-like way this training has been developed to address:

  • 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 if such issues can be raised at the beginning of treatment
  • How do we know when to stop therapy or other interventions?
  • Ending treatment and risk management: how can individuals and teams develop confidence in letting go?


Download an overview of the When to Stop Treatment modules here


Led by: Professor Miranda Wolpert MBE, Professor of Evidence Based Research and Practice, UCL; Director of Evidence Based Practice Unit, UCL and Anna Freud National Centre for Children and Families; Director of Child Outcomes Research Consortium and Lead Author of the THRIVE Framework.


If you would like to buy in this training for your services please contact


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The i-THRIVE Academy pilot in 2017 was funded by Health Education England.