SCORE‐15 is a self‐report measure developed for systemic approaches to therapy. This article describes a pilot study designed to test the reliability and content validity of the original SCORE‐15 for lesbian, gay and bisexual (LGB) adults in the UK. Quantitative data analyses conducted with an LGB sample (n = 59) and a non‐LGB sample (n = 57) found sufficient temporal and internal reliability in the SCORE‐15 but with some exceptions for the communication subscale. The content validity of SCORE‐15 was checked via group discussions with two clinical professionals groups (n = 7) and a gay/bisexual men group (n = 8). An alternative adult version of SCORE‐15 named the relational SCORE‐15 or the R‐SCORE‐15 was constructed and its content validity was checked by the original clinical professionals and an additional professional group (n = 8). The R‐SCORE‐15 has content validity for clinical use with couples and LGB people in relationship therapy. Practitioner points SCORE‐15 is a systemic self‐report measure reliable for routine clinical use with LGB people and couples in the UK to measure relational changes. The use of the term family affects the content validity of SCORE‐15 for LGB people and couples who may not regard family as their primary relationships. R‐SCORE‐15 is a recommended alternative to SCORE‐15 for couples, LGB people and those who may not define significant relationships via biology or marital ties.

This paper describes a reflective space created between two Singaporean Chinese systemic psychotherapists and a British Chinese family -the Chans. The family attended the Marlborough Cultural Therapy Centre (MCTC) in London and was given two separate culture-specific systemic treatments by different therapists, which were reflected upon collaboratively with the Chans. A brief literature review of British Chinese and mental health, culture and reflexivity is described. The authors discuss clinical implications including the impact of British Chinese cultures and the effect of mental health issues on the family. The process and outcomes of the treatment are explained using the frame of reflexivity. Clinical implications discussed include the impact of British Chinese cultures and the effects of schizophrenia and anxiety on the family. Practitioner points• Reflexivity is an interactional process creating change through repeated awareness, reflection and action related to our similarities and differences • This process may helpfully guide practitioners through therapeutic journeys • Reflexivity is especially important when considering both similarities and differences -even when the therapist is working with clients from a similar (ethnic) culture • Involving clients in the writing process enhances reflexivity for both therapists and clients and in itself can be thought of as a further intervention

This is a first Singapore exploratory study to understand Singapore social workers’ perceptions of their practice with lesbian, gay, and bisexual (LGB) clients and examine how they may differ by their training, clinical experiences, and demographics. This is crucial, given the societal stigma and lack of social work support for the LGB populations in Singapore. A mixed method comprising a survey of 89 social workers and a focus group discussion was utilized. Findings suggest that clinical experiences with LGB clients, years of practice, and religious affiliations influence their work with this population. Recommendations include the need for more LGB-specific research and training, and review of practice supervision and ethical code to address practice dilemmas.