Introduction

Question 1

What are the 4 stages/things we are learning about mental disorders?

Answer 1

Aetiology, assessment, treatment, service provisions

Question 2

How many people experience mental health difficulties in the past week?

Answer 2

1 in 6

Question 3

What are the main stages of care from service provisions?

Answer 3

Primary care, secondary care, tertiary care

Question 4

What does Primary Care involve?

Answer 4

Self-referrals, GP’s and pharmacists

Question 5

What does Secondary Care involve?

Answer 5

Community mental health teams, early intervention services

Question 6

What does Tertiary Care involve?

Answer 6

Inpatient

Question 7

What model is used to show the stages of care?

Answer 7

Stepped Care Model

Question 8

What is the purpose of the Stepped Care Model?

Answer 8

To provide an appropriate level of care which isn’t too burdening, from stages 1 to 5

Question 9

What does IAPT stand for?

Answer 9

Improving Access to Psychological Therapies

Question 10

How are you referred to IAPT?

Answer 10

Self-referal

Question 11

Which disorders are most commonly treated via IAPT?

Answer 11

Anxiety and depression

Question 12

What methods of delivery do IAPT services use?

Answer 12

Phone, books and computers

Question 13

What type of therapy to IAPT services use?

Answer 13

Evidence based psychological therapies

Question 14

How do IAPT services ensure that their services are doing well?

Answer 14

Use routine outcome monitoring

Question 15

What two effects can getting a diagnosis have?

Answer 15

Help people to understand their experiences OR find it unhelpful and stigmatising

Question 16

What does the DSM-5 do?

Answer 16

Define a cluster of symptoms that fall under a diagnosis

Question 17

What is formulation?

Answer 17

The process of co-constructing a hypothesis / looking at the origin of a persons difficulties and how they understand and maintain them

Question 18

What are the two sources used in formulation?

Answer 18

The clinician and the service user

Question 19

How does formulation differ from a DSM-5 diagnosis?

Answer 19

Draws attention to the service users resources and strengths, rather than just making a judgement / assumes that their behaviour makes sense on some level

Question 20

List 5 things that formulation does differently to the DSM-5?

Answer 20

Personal / overall picture / prioritises / selects and plans interventions / minimises bias’s / increased understanding and trust

Question 21

List 5 principles of Formulation?

Answer 21

Collaborative / respectful / uses ordinary language / culturally sensitive / non-judgemental / inclusive of achievements / reflective

Question 22

What 3 things does Formulation consider?

Answer 22

The possible role of trauma / the role of services (making difficulties worse) / an awarenesses of the wider social context

Question 23

How is formulation used in teams?

Answer 23

During team meetings, to develop a shared formulation about a service user

Question 24

What 2 types of Formulation are important to distinguish between?

Answer 24

Psychological and psychiatric