I have been utilising the Flags Model when making independent psychiatric recommendations, in particular in the return to work/ Fitness for Duty area. This is encapsulated as part of Clinical Framework for Delivery of Health Services. The model identifies barriers to recovery and is helpful for managers in this regard. More broadly it is I think also helpful for patients who are stuck in terms of recovery, both clinically and occupationally. It facilitates a discussion between the practitioner and the patient on what the obstacles might be and this can lead to a fruitful discussion on what can and cannot be changed.