The goals in these sessions are to strengthen the understanding of the HAP and apply it to daily life, encourage activation, identify barriers to activation and learn how to overcome them, and help patients solve or cope with life problems. Like before, these sessions include keeping a check on progress, setting an agenda, going through homework, getting active, solving problems, involving the SO, dealing with problems, planning homework, summarising, setting the next session date and completing documents.

In these sessions, patients will learn the skills they need to get active and address problems through homework.

• Review progress as before, along with suicide assessment
• Set an agenda

Ask the patient about the homework that was to be done, go over the activity chart together and select activities that can help the patient. Plan to perform these activities and discuss ways to deal with problems the patient is facing.

• Review homework

Ask the patient whether he/she has filled the activity plan and the experience he/she has had. Find out about links between the activities and the patient’s mood, any patterns that you notice, how well routine activities support the patient’s mood. In later sessions in the same phase, you can ask about specific activities they were meant to do. Encourage progress the patient has made on the action plan, and go over what was done or not done in detail.

Watch the role play video in the activities section below Dealing with Barriers in Completing Homework