Prevention-Oriented Risk Formulation

Pisani, Anthony R.; Murrie, Daniel C.; Silverman, Morton M.; Turner, Kathryn

doi:10.1007/978-3-030-41319-4_13-1

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…In addition, content guidance and additional resources (where relevant) were detailed. [23][24][25][26][27][28] Queensland trainees have already provided positive feedback on the usefulness of the guidance in supporting the drafting of PWC submissions.…”

Section: Resultsmentioning

confidence: 99%

A guide to support trainee’s success in the psychotherapy written case submission

Northwood,

Warren,

Cutbush

et al. 2023

Australas Psychiatry

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Objective Many trainees find the Psychotherapy Written Case (PWC) requirement of the Royal Australian and New Zealand College of Psychiatrists training program challenging. The skills developed and assessed through this experience are critical to the competencies expected of a psychiatrist. However, the process of psychodynamic psychotherapy is often dramatically different from the expectations associated with early clinical placements in acute psychiatric settings. To support trainees in achieving success in the PWC, a guide to the written report was developed based on a review of existing resources and various stakeholder perspectives. Conclusions The submission should reflect a training case rather than an idealised or fictionalised story attempting to demonstrate the therapist’s competence. The PWC submission must meet the requirements of a general psychiatric report and provide a considered reflection on the experience of the novice therapist.

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Section: Resultsmentioning

confidence: 99%

A guide to support trainee’s success in the psychotherapy written case submission

Northwood,

Warren,

Cutbush

et al. 2023

Australas Psychiatry

View full text Add to dashboard Cite

show abstract

“…These two issues resulted in the development of the “Integrated Formulation” (IF) (IF) [ 55 ]. The IF builds on the atheoretical “5 Ps” approach to formulation (Presenting, Predisposing, Precipitating, Perpetuating and Protective factors) and provides support for a collaboratively developed [ 56 ], shared understanding of the unique circumstances for the consumer.…”

Section: A Case Study: the Gold Coast Suicide Prevention Pathwaymentioning

confidence: 99%

The Paradox of Suicide Prevention

Turner

Pisani

Sveticic

et al. 2022

IJERPH

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The recognition that we cannot use risk stratification (high, medium, low) to predict suicide or to allocate resources has led to a paradigm shift in suicide prevention efforts. There are challenges in adapting to these new paradigms, including reluctance of clinicians and services to move away from traditional risk categorisations; and conversely, the risk of a pendulum swing in which the focus of care swings from one approach to determining service priority and focus (e.g., diagnosis, formulation, risk and clinical care) to a new focus (e.g., suicide specific and non-clinical care), potentially supplanting the previous approach. This paper argues that the Prevention Paradox provides a useful mental model to support a shift in paradigm, whilst maintaining a balanced approach that incorporates new paradigms within the effective aspects of existing ones. The Prevention Paradox highlights the seemingly paradoxical situation where the greatest burden of disease or death is caused by those at low to moderate risk due their larger numbers. Current planning frameworks and resources do not support successful or sustainable adoption of these new approaches, leading to missed opportunities to prevent suicidal behaviours in healthcare. Adopting systems approaches to suicide prevention, such as the Zero Suicide Framework, implemented in a large mental health service in Australia and presented in this paper as a case study, can support a balanced approach of population- and individual-based suicide prevention efforts. Results demonstrate significant reductions in re-presentations with suicide attempts for consumers receiving this model of care; however, the increasing numbers of placements compromise the capacity of clinical teams to complete all components of standardised pathway of care. This highlights the need for review of resource planning frameworks and ongoing evaluations of the critical aspects of the interventions.

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Prevention-Oriented Risk Formulation

Cited by 2 publications

References 43 publications

A guide to support trainee’s success in the psychotherapy written case submission

A guide to support trainee’s success in the psychotherapy written case submission

The Paradox of Suicide Prevention

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