Problematic and Risk Behaviours in Psychosis: A Shared Formulation Approach

by Meaden; Alan

• ISBN13: 9780415494656
• ISBN10: 0415494656
• Format: Nonspecific Binding
• Copyright: 2010-12-17
• Publisher: Routledge

Summary

In spite of improved access to psychosocial interventions, many people with psychosis continue to experience persistent problems which act as significant barriers to their recovery. This book investigates risk and problem behaviours in psychosis including staff and service factors that can impede the delivery of effective care.Problematic and Risk Behaviours in Psychosis provides a new approach for assessment formulation and intervention within such problem behaviours in a team context. Of particular interest will be:an outline of the SAFE (Shared Assessment, Formulation and Education) approach an integrative model for understanding risk and problematic behaviour shared risk assessment and management processes approaches to reducing team and carer barriers to effective care the use of CBT in day-to-day interactions with clients a set of formulation driven strategies for managing problematic behaviours case studies and vignettes providing guidance and highlighting the benefits of the approach.This book will have particular appeal to professionals working in specialist community, hospital based and residential services who often struggle to help those with the most complex mental health problems who are hardest to reach. It is also an excellent resource for those engaged in training in psychological therapies, risk assessment and management.

Author Biography

Alan Meaden is a Consultant Specialist Clinical Psychologist for Birmingham and Solihull Mental Health Foundation Trust who specialises in working with those most affected by psychosis. He is an active researcher, most notably in the area of cognitive therapy for command hallucinations, and has other research interests in engagement and staff factors. David Hacker is a Principal Clinical Psychologist in Neuropsychology at University Hospital Birmingham Regional Neuroscience Centre. He is experienced in working ciinicaliy with psychosis, is an active researcher and a Cochrane reviewer. He has additional expertise in working with a range of forensic populations and has undertaken post-doctoral training in Neuropsychology, which is now his area of speciality.

Table of Contents

List of figures	p. vii
List of tables	p. viii
List of abbreviations	p. ix
Preface	p. Xi
Acknowledgements	p. xiii
Introduction	p. 1
The SAFE approach: theory, models and processes	p. 5
Problematic behaviour in psychosis: a barrier to social inclusion and recovery. Definitions, prevalence and consequences	p. 7
The SAFE approach: an overview	p. 16
Improving care planning: the WHO ICIDH-2 model and service level formulation	p. 34
Formulating the person: arriving at a shared view	p. 46
Shared risk assessment in psychosis	p. 67
Shared risk formulation	p. 91
Carm: an integrative model for understanding problematic behaviour in psychosis	p. 102
Working with staff and carer beliefs in SAFE	p. 123
Assessment	p. 141
Assessing problematic behavioural excesses in psychosis: a Multidisciplinary Team-based approach	p. 143
Identifying early warning signs of risk	p. 154
Assessing behavioural deficits	p. 165
Interventions in SAFE	p. 175
Working with low-risk behavioural excesses	p. 177
Working with high-risk behavioural excesses	p. 193
Working with behavioural deficits	p. 209
Implementation issues: translating SAFE into routine clinical practice	p. 221
Translating the SAFE approach into care plans	p. 223
Applying SAFE and CARM in specialist settings	p. 235
Implementing SAFE: the dynamics of change	p. 242
Training, supervision, reflective practice and staff support groups	p. 240
Appendices:
Challenging Behaviour Checklist for Psychosis (CBC-P)	p. 256
Recovery Goal Planning Interview	p. 262
Personal, Social, Developmental and Psychiatric History Assessment	p. 269
Challenging Behaviour Record Sheet for Psychosis (CBRS-P)	p. 276
Idiosyncratic Behaviour Monitoring Checklist for Psychosis (IBMC-P)	p. 279.
Early Warning Signs of Risk (EWS-R) Checklist	p. 280
References	p. 283
Index	p. 303
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