This can happen. If a service user has gone backwards on a scale, workers are sometimes concerned that seeing this represented on the Star will demotivate them. Usually, the service user is only too aware that they have moved further away from their goal and acknowledging this can be a helpful first step in reversing the trend. Within the context of the Star, you can remind people how difficult change is, especially around the middle of the scale. Lapses are likely and change will not always be a linear process.

It is possible that the service user may self-score lower after their initial assessment.
This is often a positive step, showing greater self-awareness and trust in their key worker.

Author: Triangle Consulting for the London Housing Foundation
Updated: 2 January 2008