When to Stop Treatment: Building Confidence in Letting Go

i-THRIVE Academy Practice Development Module

The THRIVE Framework for system change (Wolpert et al., 2019) sets out that help 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 THRIVE Framework 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: Dr Rachel James, co-author of the THRIVE Framework, National i-THRIVE Programme and Clinical Lead and Associate Clinical Director at the Tavistock and Portman NHS Foundation Trust and Kate Dalzell, Head of the Child Outcomes Research Consortium (CORC).


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


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