Outcome monitoring
It is important for us to understand together how your child/young person is doing.  It would be really great if you take some time to complete this form.  Try and be as open as possible as this will help us to make sure Elysian is working for your young person.

This information will only be shared with people who are involved in their care.
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Name
How old is your child/young person?
Clear selection
How long have they been coming to Elysian?
Clear selection
What kind of placement are they accessing at Elysian?
Clear selection
How would you score their anxiety *
Feeling extremely anxious
Not feeling anxious at all
Do you feel  they are able to cope when things go wrong? *
Not at all
Most or all of the time
Do you think they have thoughts and feelings that distress them? *
Not at all
Most or all of the time
Do  they ever become  so angry that they lose control? *
Not at all
Most or all of the time
How confident are they in making relationships ? *
Not at all
Most or all of the time
How confident are they working alongside their peers? *
Not at all
Most or all of the time
Do you think they have an understanding of their feelings and behaviours? *
Not at all
Most or all of the time
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