Appendices
Worksheets and practitioner pro-forma
Thank you for accessing these materials, The appendices and worksheets contained within this page have been developed exclusively for use within the CASP-R Intervention Framework. These materials are protected by copyright and remain the intellectual property of the authors.
By accessing these resources, you acknowledge and agree that: The materials are provided solely for practitioners trained in, or authorised to use, the CASP-R Intervention Framework. The resources may only be used when delivering assessments, interventions, supervision, training, or related work within the CASP-R Framework. The materials must not be copied, reproduced, distributed, shared, uploaded, adapted, sold, or incorporated into other programmes, frameworks, training courses, or publications without the express written permission of the copyright holders. Unauthorised use, reproduction, or dissemination of any part of these materials may constitute a breach of copyright law. These resources have been created to support fidelity to the CASP-R Intervention Framework and to ensure consistent, evidence-informed practice.
The CASP-R Intervention Framework | © McGibbon & Leonard 2026 – All rights reserved.
These worksheets are designed to be downloaded. Completed sheets are collated into the caregiver’s personal “My Story” file. Each worksheet is colour-coded to its domain so practitioners and caregivers can see at a glance which area of need it supports. All worksheets apply equally to work involving a person of concern (POC) or a young person of concern (Y-POC) – practitioners should substitute or add ‘Y-POC’ language where relevant.
| Practitioner tools | |
|---|---|
| Appendix 1 | Pre-Intervention Assessment and Readiness Tool |
| Appendix 2 | Our Agreement (Work plan & SMART goals) |
| Appendix 3 | Mid-Intervention Review Tool – Review of Progress and Session Plan |
| Appendix 4 | New Relationships: A Guide for Caregivers and Practitioners |
| Appendix 5 | Session Fidelity Checklist |
| Appendix 6 | Progress Tracker & Protective Capacity Scale |
| Appendix 7 | Reflection & Learning Statement |
| Appendix 8 | Check In/Check Out |
| Appendix 9 | My Story – Cover & Index |
| Appendix 10 | My Safety Plan |
| Appendix 11 | Session Risk Log |
| Appendix 12 | Post Intervention CASP-R Domain Review |
| Appendix 13 | Post Intervention Report Template |
| Appendix 14 | Reflective Supervision Tool |
| Appendix 15 | Your Experience of CASP-R Intervention Feedback Questionnaire |
| Appendix 16 | Practitioner Programme Feedback Form |
| Worksheet title | Session | Domain |
|---|---|---|
| Worksheet 1 – The Tree of Life | Session 1 | 1 – Internal Capacity |
| Worksheet 2 – My Relationship Style | Session 2 | 1 – Internal Capacity |
| Worksheet 3 – My Relationship History | Session 2 | 1 – Internal Capacity |
| Worksheet 4A – Healthy Relationships | Session 3A | 1 – Internal Capacity |
| Worksheet 4B – My Relationship Goals | Session 3A | 1 – Internal Capacity |
| Worksheet 4C – Recognising Coercive Control | Session 3B | 1 – Internal Capacity |
| Worksheet 4D – My experience of control and how it affected me | Session 3B | 1 – Internal Capacity |
| Worksheet 4E – Moving Forward | Session 3 | 1 Internal Capacity & 2 Insight of Harm |
| Worksheet 5 – My Sense of Me | Session 4 | 1 – Internal Capacity |
| Worksheet 6 – When I Feel Valued / When I Don’t | Session 4 | 1 – Internal Capacity |
| Worksheet 7 – The Self-Reflection Compass | Session 4 | 1 – Internal Capacity |
| Worksheet 8 – Understanding the POC / Y-POC | Session 5 | 2 – Insight of Harm |
| Worksheet 8A – Pornography and On-line Behaviour | Session 5A | 2 – Insight of Harm |
| Worksheet 9 – What Harm Has Been Caused? | Sessions 3 & 5 | 2 – Insight of Harm & 1 Internal Capacity |
| Worksheet 10 – My Worries & How I Manage Them | Session 5 | 2 – Insight of Harm |
| Worksheet 11 – Grooming Exercise | Session 5 | 2 – Insight of Harm |
| Worksheet 12 – Online Safety Plan | Session 5B | 2 – Insight of Harm |
| Worksheet 13 – Disclosure Response Card | Session 5C | 2 – Insight of Harm |
| Worksheet – 14 Pants Rule | Session 5D | 2 – Insight of Harm |
| Worksheet 15 – Me as a Parent – Strengths & Challenges | Session 6 | 3 – Parenting Capacity |
| Worksheet 16 – Empathy & Attunement Journal | Session 6 | 3 – Parenting Capacity |
| Worksheet 17 – Boundaries & Parental Authority | Session 6 | 3 – Parenting Capacity |
| Worksheet 17A – My Child’s World | Session 6A | 3 – Parenting Capacity |
| Worksheet 17B – What my child needs from me | Session 6A | 3 – Parenting Capacity |
| Worksheet 17C – Talking with my children | Session 6B | 3 – Parenting Capacity |
| Worksheet 17D – After a difficult moment – Repair | Session 6B | 3 – Parenting Capacity |
| Worksheet 17E – My Child’s Safety Skills | Session 6C | 3 – Parenting Capacity |
| Worksheet 17 F – Understanding my child’s behaviour | Session 6D | 3 – Parenting Capacity |
| Worksheet 18 – How I Cope with Stress | Session 7 | 4 – Coping Capacity |
| Worksheet 19 – The POC/Y-POC & My Stress (Word Sort) | Session 7 | 4 – Coping Capacity |
| Worksheet 20 – My Support Network | Sessions 6 & 7 | 4 – Coping Capacity |
| Worksheet 21 – Mental Health & Protective Thinking | Session 7 | 4 – Coping Capacity |
| Worksheet 22 – My Path to Coping | Session 7 | 4 – Coping Capacity |
| Worksheet 23 – Substance Misuse | Session 7 | 4 – Coping Capacity |
| Worksheet 24 – My window of tolerance | Session 7A | 4 – Coping Capacity |
| Worksheet 24A – My regulation toolkit | Session 7A | 4 – Coping Capacity |
| Worksheet 25 – Who am I becoming? | Session 7A | 4 – Coping Capacity |
| Worksheet 25A – My Relapse Prevention Plan for Protective Capacity | Session 7B | 4 – Coping Capacity |
The CASP-R Intervention Framework | © McGibbon & Leonard 2026 – All rights reserved.