Good practice guidelines on the use of psychological formulation

Formulation and electronic records

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Formulation and electronic records.

Many NHS Trusts now use electronic information systems for mental health services, and the aim is for this to become universal. Every patient will have an electronic clinical record
(ECR) containing clinical information and demographic, care and outcome data. The aim is for the ECR to contain all the information necessary to support the business, policy, and research requirements for NHS organisations in England (Department of Health, 2010). Some Adult Mental Health electronic systems, for example, Rio, do include a space for formulation. However, initial research has found that without specific training, most
CMHT staff are likely to use leave this section blank or use it incorrectly (Thomas, 2008).

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