DCP-Guidelines-for-Formulation

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Appendix 1:Checklist of good practice in the use of formulationThis checklist summarises the principles of recommended best practice in formulation andformulating. The phrase ‘service user’ should be taken to encompass families/carers whereappropriate.As noted in the main body of the guidelines, while these principles and standards will bebroadly relevant to formulation used in a more partial, informal or evolving way, forobvious reasons it will not always be possible, necessary or appropriate to incorporate themin full. Clinical judgement must be exercised in making these decisions. However, thecriteria can still be seen as a useful reference point and checklist of good practice for allstages and versions of formulation and formulating.Clinical psychologists may use this checklist for the following purposes:● Supporting and evaluating their clinical practice in relation to formulation, in orderto maintain the highest standards throughout their careers.● Aiding supervision and appraisal within the profession.● Informing supervision and consultation to other professionals and to teams.● Teaching and assessing trainees on clinical psychology doctorate courses.● Teaching and training with other professional groups.● Checking the quality of formulations for inclusion in records and other paperwork.● As psychology leads and managers, for auditing psychology services.● As a basis for research into formulation, either clinician-led or jointly with serviceusers.Rationale for auditDate ................................................................................................................................................Clinician’s name ............................................... Job title...............................................................Assessor’s name ............................................... Job title...............................................................Brief description of the area being audited.........................................................................................................................................................................................................................................28 Division of Clinical Psychology
Characteristics of the formulationGrounded in an appropriate level and breadth of assessmentBased on psychological theory, evidence and principlesInformed by a range of models and/or causal factorsIntegrates, not just lists, the models and causal factorsMakes theoretical senseIncludes service user’s strengths and achievementsImportant aspects of the history and the problems areaccounted forIndicates how the main difficulties may relate to each otherSuggests explanations for the development of the maindifficulties, at this time and in these situationsThe personal meaning to the service user is an integratingfactor (either directly or through an indirect or‘Best Interest’ procedure)Provides a basis for making decisions aboutintervening/moving forwardSuggests how to prioritise interventions, if indicatedCan be used to make and test predictions, including risksCan be used to anticipate responses to the intervention,including setbacksCan be used to set goals and desired outcomesIs not premised on a functional psychiatric diagnosis(e.g. schizophrenia, personality disorder)Is person-specific not problem-specificIs culturally sensitiveIs expressed in accessible languageTakes a non-blaming stance towards service user and othersConsiders the possible role of trauma and abuseIncludes the impact and personal meaning of medical andother health care interventionsConsiders possible role of services in compoundingthe difficultiesInformed by awareness of service/organisational factorsInformed by awareness of social/societal factorsHas clear links backward to the assessment and forward tothe interventionStandardmet?CommentsGood Practice Guidelines on the use of psychological formulation 29
Page 4: 1. Executive summary●●●●●
Page 7 and 8: 5. Formulation in clinical psycholo
Page 9 and 10: As the definitions indicate, clinic
Page 11 and 12: Clinicians have reported additional
Page 13 and 14: In order to decide how full a formu
Page 15 and 16: principles and evidence into clinic
Page 17 and 18: formulation, especially given the t
Page 19 and 20: This does not imply that biological
Page 21 and 22: 10. Formulation and the service/org
Page 23 and 24: 12. The ethics of formulationAs alr
Page 25 and 26: 13. Formulation: Areas for developm
Page 27 and 28: These terms have the obvious advant
Page 29: 15. Relevant BPS documentsThese gui
Page 33 and 34: Appendix 2:Professional guidelines
Page 35 and 36: 2.3.4 Psychological intervention1.
Page 37 and 38: teams. Research on the use of formu
Page 39 and 40: Cole, S. & Johnstone, L. (in press)
Page 41 and 42: Karlsen, S. (2007). Ethnic inequali
Page 43 and 44: Schulte, D., Kunzel, R., Pepping, G

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