Supervised Assessment & Formulation Pathway Fee: £680 | Duration: 8 hours Some situations do not require a fully outsourced specialist assessment. Instead, they benefit from experienced clinical oversight to strengthen formulation, support decision-making, and quality assure the assessment being undertaken by the existing team. This pathway enables the MDT, clinician, or provider to retain ownership of the assessment while receiving specialist supervision, formulation support, and expert guidance throughout the process. It is designed to build confidence, strengthen internal capability, and ensure assessment findings are robust before deciding whether a more intensive specialist assessment is required. Best suited when A full specialist-led assessment is not yet required. An MDT would benefit from independent formulation or clinical oversight. Providers want to strengthen internal capability while retaining ownership of the assessment. Additional confidence is needed before progressing to a more comprehensive assessment pathway. Outputs Specialist formulation guidance. Quality-assured assessment process. Practical recommendations to strengthen assessment and decision-making. Clear advice on whether further specialist assessment is required. Investment £680 – final scope agreed during the initial scoping discussion. Need a more comprehensive assessment? Where the assessment requires direct observation, a Functional Behaviour Assessment (FBA), multiple stakeholder interviews, or broader multidisciplinary evaluation, we also offer: Complex Needs Assessment – Functional Behaviour Assessment (FBA) with direct observation. Enhanced Complex Needs Evaluation – for situations requiring broader biopsychosocial and multidisciplinary evaluation. Comprehensive Systemic Review – where the wider support system, organisational factors, or implementation barriers also need to be understood. Not sure which pathway is right? We'll help you identify the most appropriate level of assessment during a short scoping conversation.

Complex Needs Assessment Fee: £1,275 | Duration: 15 hours Suitable when A specialist-led Functional Behaviour Assessment (FBA) is needed to understand what is driving distress, behaviours of concern, increased risk, or placement instability. This assessment combines structured interviews, record review, direct observation, and clinical formulation to understand how biological, psychological, social, and environmental factors interact. The aim is to identify what is driving current difficulties and provide clear, practical recommendations that improve quality of life, reduce avoidable risk, and strengthen everyday support. What's Included Specialist Functional Behaviour Assessment (FBA) Structured interviews with the individual, family members, carers, and professionals Review of existing assessments, support plans, incident records, and relevant documentation Direct observation within everyday environments (where appropriate) Integrated biopsychosocial formulation Practical recommendations to improve quality of life, reduce avoidable risk, and strengthen support Outputs You will receive a comprehensive assessment report including: Functional formulation explaining what is driving distress and behaviour Identification of unmet needs, strengths, and protective factors Environmental and support recommendations Practical Positive Behaviour Support recommendations Prioritised actions to guide implementation and review Before We Begin We'll ask for: Written consent (or best-interest agreement where appropriate) A completed referral form Relevant reports, support plans, and current risk assessments Next Steps Every assessment begins with a short scoping conversation. Together we'll confirm that this is the most appropriate assessment pathway, clarify the questions the assessment needs to answer, agree interview and observation arrangements, and develop a clear assessment plan before work begins.

Enhanced Complex Needs Evaluation Fee: £1,700 | Duration: 20 hours Suitable when A standard Functional Behaviour Assessment (FBA) is unlikely to provide enough information to support confident decision-making. This evaluation is designed for situations where needs are exceptionally complex, involve multiple interacting factors, or where previous assessments have not provided sufficient clarity. It combines Functional Behaviour Assessment, comprehensive biopsychosocial formulation, direct observation, and multidisciplinary information gathering to develop a deeper understanding of the person, their experiences, and the factors influencing behaviour, well-being, and quality of life. What's Included Comprehensive Functional Behaviour Assessment (FBA) Extended interviews with the individual, family members, carers and professionals Review of previous assessments, health information, support plans and relevant documentation Direct observations across multiple settings where appropriate Comprehensive biopsychosocial formulation Analysis of communication, health, trauma, sensory, environmental and relational factors Practical recommendations to improve quality of life, reduce avoidable risk and strengthen long-term support Outputs You will receive a comprehensive evaluation report including: An integrated formulation explaining the interaction between biological, psychological, social and environmental factors Functional hypotheses explaining behaviours of concern and distress Identification of unmet needs, strengths and protective factors Environmental and support recommendations Practical Positive Behaviour Support recommendations Prioritised implementation plan for providers, commissioners and multidisciplinary teams Before We Begin We'll ask for: Written consent (or best-interest agreement where appropriate) A completed referral form Previous assessments, support plans and current risk assessments Relevant health, education and social care documentation Next Steps Every evaluation begins with a short scoping conversation. Together we'll determine whether this is the most appropriate assessment pathway, identify the key questions the evaluation needs to answer, agree the scope of interviews and observations, and develop a clear evaluation plan before work begins.

Comprehensive Systemic Review Fee: £2,550 | Duration: 30 hours Suitable when A comprehensive Functional Behaviour Assessment (FBA) alone is unlikely to provide sufficient understanding because the person's needs are influenced by highly complex interactions across multiple environments, services and systems. This is our most comprehensive assessment pathway. Alongside an in-depth Functional Behaviour Assessment, we examine the wider relational, environmental, organisational and multi-agency factors influencing the person's quality of life, well-being and support. The aim is to understand not only what is driving current difficulties, but how the wider system can better meet the person's needs and create sustainable, long-term outcomes. What's Included Comprehensive Functional Behaviour Assessment (FBA) Extensive interviews with the individual, family members, carers, professionals and key stakeholders Review of existing assessments, health information, education reports, support plans, incident data and relevant documentation Multiple direct observations across settings where appropriate Comprehensive biopsychosocial formulation Detailed analysis of communication, health, trauma, sensory, environmental, relational and organisational factors Review of leadership, workforce capability, governance and multi-agency working where these influence outcomes Strategic recommendations and implementation planning Outputs You will receive a comprehensive review report including: An integrated formulation explaining the interaction between biological, psychological, social, environmental and organisational factors Functional hypotheses explaining behaviours of concern, distress and escalating support needs Identification of unmet needs, strengths and protective factors Recommendations for the individual, staff team, organisation and wider system Practical Positive Behaviour Support recommendations Prioritised implementation plan with immediate, medium-term and longer-term actions to improve quality of life, reduce avoidable risk and strengthen long-term sustainability Before We Begin We'll ask for: Written consent (or best-interest agreement where appropriate) A completed referral form Existing assessments, support plans, current risk assessments and incident information Relevant health, education, social care and organisational documentation Next Steps Every review begins with a detailed scoping conversation. Together we'll confirm that this is the most appropriate assessment pathway, identify the questions the review needs to answer, agree the scope of interviews and observations, and develop a comprehensive review plan before work begins.