Formulation

Question 1

What 3x3 matrix is used?

You can also add protective factors to this matrix. What are some protective factors?

Answer 1

Bio-psycho-social features vs predisposing, precipitating, and perpetuating factors

Pets
Family especially children
Engagement in treatment
Accepting help

Question 2

How can differentials be categorised?

Answer 2

Psychotic
Affective
Organic

Question 3

How should treatment be split?

Answer 3

Bio-psycho-social model

Question 4

What psychological Rx is the first line?

Answer 4

Psychoeducation - the process of providing education and information to those seeking or receiving mental health services, such as people diagnosed with mental health conditions (or life-threatening/terminal illnesses) and their family members.

Question 5

What social Rx is first line?

Answer 5

Lifestyle
Housing
Family
Work

Question 6

Who in the MDT should be involved? - 4

What should be avoided as much as possible?

What 2 services should be involved in relapse?

Answer 6

CPN - community psychiatric nurse
Social worker 
Occupational therapist (OT)
GP 
----

Hospital admissions

CMHT - community mental health team / crisis team

Question 7

Who can inpatients be discharged to if they are very well? - 2

What if they need intense monitoring for a couple of wks?

Answer 7

CMHT
GP
—
Crisis team

Question 8

Whos is involved in the CMHT?

How is their medical care delivered?

How are they monitored for ongoing Rx?

Answer 8

A care-coordinator 
Social worker 
CPN or OT 
--
CPN or psychiatrist 

Home visits or outpatient clinics