Good practice guidelines on the use of psychological formulation



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Standard

Comments
met?
Grounded in an appropriate level and breadth of assessment
Based on psychological theory, evidence and principles
Informed by a range of models and/or causal factors
Integrates, not just lists, the models and causal factors
Makes theoretical sense
Includes service user’s strengths and achievements
Important aspects of the history and the problems are accounted for
Indicates how the main difficulties may relate to each other
Suggests explanations for the development of the main difficulties, at this time and in these situations
The personal meaning to the service user is an integrating factor (either directly or through an indirect or
‘Best Interest procedure)
Provides a basis for making decisions about intervening/moving forward
Suggests how to prioritise interventions, if indicated
Can be used to make and test predictions, including risks
Can be used to anticipate responses to the intervention, including setbacks
Can be used to set goals and desired outcomes
Is not premised on a functional psychiatric diagnosis
(e.g. schizophrenia, personality disorder)
Is person-specific not problem-specific
Is culturally sensitive
Is expressed inaccessible language

Takes a non-blaming stance towards service user and others

Considers the possible role of trauma and abuse
Includes the impact and personal meaning of medical and other healthcare interventions
Considers possible role of services in compounding the difficulties
Informed by awareness of service/organisational factors
Informed by awareness of social/societal factors
Has clear links backward to the assessment and forward to the intervention



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