Kiyimba-etal2018

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Kiyimba-etal2018
BibType ARTICLE
Key Kiyimba-etal2018
Author(s) Nikki Kiyimba, Michelle O’Reilly, Jessica Nina Lester
Title Agenda setting with children using the ‘three wishes’ technique
Editor(s)
Tag(s) EMCA, Children, Agenda setting, Assessments, Child mental health, Goals
Publisher
Year 2018
Language English
City
Month
Journal Journal of Child Health Care
Volume 22
Number 3
Pages 419–432
URL Link
DOI https://doi.org/10.1177/1367493518762487
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

The National Health Service (UK) offers initial screening appointments for children referred to child and adolescent mental health services to determine clinical need and assess risk. Conversation analysis was utilized on 28 video recordings of these assessments, lasting approximately 90 minutes each with a multidisciplinary team. This article focuses on the agenda setting strategies used to establish relevant goals with children and adolescents; specifically, the technique of offering ‘three wishes’. For example, ‘if you had three wishes, what would you like to make happen?’ In cases where children initially volunteered an assessment-relevant wish, they tended not to articulate further wishes. Non-assessment-relevant wishes (i.e. fantasy wishes, such as being ‘rich’) were treated as insufficient, with many approaches used to realign establishing assessment relevant goals. Where responses were not institutionally relevant, practitioners undertook considerable discursive work to realign the focus of the three wishes task to assessment relevance. In these cases, the wish responses were treated as irrelevant and tended to be dismissed, rather than explored for further detail. Such work with the children’s contributions has implications for engaging children and child-centred practices.

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