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Confidence issues/Low self-esteem. A service user who is very shy or has a low self-esteem may not feel comfortable to verbally communicate their needs; in this case, a career would need to ensure the service user has some other way to communicate, for example writing it down to graphically communicate their needs. It is important for all service users to feel comfortable here at Mulberry Tree around careers and feel as though they can trust them, so that they can communicate their needs effectively. A strategy to overcome this barrier to communication and interpersonal interaction would be to do one to one sessions with the service user and the career so that they can build trust with them and feel more comfortable around the home.

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