Introduction Flashcards
What are the 4 stages/things we are learning about mental disorders?
Aetiology, assessment, treatment, service provisions
How many people experience mental health difficulties in the past week?
1 in 6
What are the main stages of care from service provisions?
Primary care, secondary care, tertiary care
What does Primary Care involve?
Self-referrals, GP’s and pharmacists
What does Secondary Care involve?
Community mental health teams, early intervention services
What does Tertiary Care involve?
Inpatient
What model is used to show the stages of care?
Stepped Care Model
What is the purpose of the Stepped Care Model?
To provide an appropriate level of care which isn’t too burdening, from stages 1 to 5
What does IAPT stand for?
Improving Access to Psychological Therapies
How are you referred to IAPT?
Self-referal
Which disorders are most commonly treated via IAPT?
Anxiety and depression
What methods of delivery do IAPT services use?
Phone, books and computers
What type of therapy to IAPT services use?
Evidence based psychological therapies
How do IAPT services ensure that their services are doing well?
Use routine outcome monitoring
What two effects can getting a diagnosis have?
Help people to understand their experiences OR find it unhelpful and stigmatising
What does the DSM-5 do?
Define a cluster of symptoms that fall under a diagnosis
What is formulation?
The process of co-constructing a hypothesis / looking at the origin of a persons difficulties and how they understand and maintain them
What are the two sources used in formulation?
The clinician and the service user
How does formulation differ from a DSM-5 diagnosis?
Draws attention to the service users resources and strengths, rather than just making a judgement / assumes that their behaviour makes sense on some level
List 5 things that formulation does differently to the DSM-5?
Personal / overall picture / prioritises / selects and plans interventions / minimises bias’s / increased understanding and trust
List 5 principles of Formulation?
Collaborative / respectful / uses ordinary language / culturally sensitive / non-judgemental / inclusive of achievements / reflective
What 3 things does Formulation consider?
The possible role of trauma / the role of services (making difficulties worse) / an awarenesses of the wider social context
How is formulation used in teams?
During team meetings, to develop a shared formulation about a service user
What 2 types of Formulation are important to distinguish between?
Psychological and psychiatric
