Team-Based Shared Formulation for Psychosis The SAFE Approach

Adding to the growing literature on shared formulation, the authors provide over two decades of practice-based evidence for the use of a Shared Assessment, Formulation and Education (SAFE) approach to working with those with complex mental health and behavioural needs. The SAFE approach offers an evidence-informed framework for multidisciplinary teams to address the needs of those with complex and enduring psychosis for whom current evidence-based interventions are ineffective in promoting their recovery. Drawing from richly detailed case studies, the authors provide a range of useful tools and fomulation templates for use by clinicans and professionals alike. They put forward a shared language to promote a multidisciplinary understanding of service users' complex needs and a means of organising treatment into a focused, realistic and targeted approach aimed at reducing barriers to recovery and allowing individuals to lead personally meaningful lives. The book focuses predominantly on the treatment of those with psychosis who require bespoke, multi-theory informed care. This work will be an invaluable resource to professionals working with this client group, including clinical and counselling psychologists, psychiatrists and other allied health professionals.

1. Understanding Risk and Problematic Behaviour in Psychosis 2. Getting Started: Assessingand Formulating the Team and the Service 3. Shared Formulation: Principles and Practice in SAFE 4. Risk Assessment in SAFE 5. Using Early Warning Signs in SAFE 6. CARM Revisited 7. Planning and Delivering Behavioural Interventions in SAFE 8. Using TBCT to Modify the Person's Internal World 9. Intervening Across Internal and External Domains of the Person's World 10. Using Multiple Shared Formulations to Inform Care Planning and Intervention 11. Applying SAFE to Other Settings 12. Measuring Outcomes and Capturing Change

Alan Meaden is a consultant clinical psychologist with over 25 years of experience working in designing and researching rehabilitation services. Andrew Fox is a clinical psychologist working across inpatient recovery and rehabilitation services. He is also a lecturer in the Centre for Applied Psychology at the University of Birmingham. Henna Hussain is a clinical psychologist currently working for Birmingham and Solihull Mental Health NHS Foundation Trust. Henna works in both a Community Mental Health Team and in Recovery and Rehabilitation inpatient services.