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Problematic and Risk Behaviours in Psychosis : A Shared Formulation Approach - Alan Meaden

Problematic and Risk Behaviours in Psychosis

A Shared Formulation Approach

Paperback Published: 12th November 2010
ISBN: 9780415494656
Number Of Pages: 312

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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.

Working with Problematic Behaviour in Psychosis provides a new approach for assessment formulation and intervention with 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
  • 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 residential care for those with complex mental health problems as well as those working in intensive community based services. It is also an excellent resource for those training in psychological therapies for complex mental health problems, risk assessment and management.

"This book successfully illustrates how recent developments in cognitive therapy for psychosis, risk management and behavioural approaches can be integrated into a whole team treatment framework in services for people with complex and challenging mental health and behavioural needs. An excellent clinical resource for all professionals working with this client group." - Suzanne Jolley, Clinical Psychologist, King's College London, UK "As a student with little clinical experience, I found the authors' approach engaging. They provide clear and concise definitions of every assessment and the use of therapy in the clinical field, which I found very helpful. They also provide an integrative approach, clearly showing the differences of assessments used in practice. The interesting thing is the use of illustrative examples: case studies which make the approach come to life...I found this book exceptional" - Heather Brobbey, Journal of Mental Health, August 2011

List of figuresp. vii
List of tablesp. viii
List of abbreviationsp. ix
Prefacep. Xi
Acknowledgementsp. xiii
Introductionp. 1
The SAFE approach: theory, models and processesp. 5
Problematic behaviour in psychosis: a barrier to social inclusion and recovery. Definitions, prevalence and consequencesp. 7
The SAFE approach: an overviewp. 16
Improving care planning: the WHO ICIDH-2 model and service level formulationp. 34
Formulating the person: arriving at a shared viewp. 46
Shared risk assessment in psychosisp. 67
Shared risk formulationp. 91
Carm: an integrative model for understanding problematic behaviour in psychosisp. 102
Working with staff and carer beliefs in SAFEp. 123
Assessmentp. 141
Assessing problematic behavioural excesses in psychosis: a Multidisciplinary Team-based approachp. 143
Identifying early warning signs of riskp. 154
Assessing behavioural deficitsp. 165
Interventions in SAFEp. 175
Working with low-risk behavioural excessesp. 177
Working with high-risk behavioural excessesp. 193
Working with behavioural deficitsp. 209
Implementation issues: translating SAFE into routine clinical practicep. 221
Translating the SAFE approach into care plansp. 223
Applying SAFE and CARM in specialist settingsp. 235
Implementing SAFE: the dynamics of changep. 242
Training, supervision, reflective practice and staff support groupsp. 240
Challenging Behaviour Checklist for Psychosis (CBC-P)p. 256
Recovery Goal Planning Interviewp. 262
Personal, Social, Developmental and Psychiatric History Assessmentp. 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) Checklistp. 280
Referencesp. 283
Indexp. 303
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780415494656
ISBN-10: 0415494656
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 312
Published: 12th November 2010
Country of Publication: GB
Dimensions (cm): 23.11 x 15.49  x 1.52
Weight (kg): 0.43
Edition Number: 1