As part of routine adolescent care, it is good practice to spend some time speaking directly with the young person on their own, guided by readiness rather than age alone. This supports open conversation, respects their growing independence, and helps clinicians check in on wellbeing and emerging stressors.

When parents or carers are present, begin by addressing the young person first to reinforce that they are the focus of the consultation. Inviting the young person to introduce others in the room can help set this tone. 

During the HEEADSSS assessment, speaking with the young person privately helps create a safe space for discussing sensitive topics and supports more open and honest communication. 

This does not exclude families from care. Parents and carers should be invited to share any concerns, with reassurance that they will be included again to discuss outcomes and next steps.

Explain the approach clearly, for example: “We routinely spend a short part of the appointment speaking directly with young people to support their independence and make sure we’re addressing what matters to them.”