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 was 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.

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?


This module is led by Professor Miranda Wolpert, MBE:

Professor of Evidence Based Research and Practice, Dept. of Clinical, Education and Health Psychology, UCL
Director of Evidence Based Practice Unit, UCL and Anna Freud National Centre for Children and Families
Director of Child Outcomes Research Consortium
Lead Author of the THRIVE Framework


Follow @iTHRIVEinfo and #iTHRIVEacademy on Twitter for more information about this module.


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The i-THRIVE Academy is funded by Health Education England.