Formulation in Mental Health Nursing

Preface
Acknowledgements
Contents
Notes on Contributors
Abbreviations
List of Figures
List of Tables
Chapter 1: Understanding Human Distress and an Invitation to Explore the Myriads of Formulation
	A Note on Language, Terminology and How This Book Is Written
	The Formulation of Human Distress and How Philosophy, Ontology and Epistemology Have Influenced Mental Health Nursing Perspectives
	Historical Developments to Understanding Human Distress and Mental Health Nursing Progression
	Multidisciplinary Approaches to Understanding and Responding to an Individual’s Distress
	Advances in Trauma Informed Approaches: Using the Power Threat Meaning Framework to Formulate Personal Distress
	Advances in Trauma Informed Approaches: The Indicative Trauma Impact Manual (ITIM)
	Approaches to Formulation
		Psychological Formulation
		CBT Formulation
		A Psychodynamic Approach to Formulation
		The Biopsychosocial Model and Formulation
	The Recognition of Diversity, Marginalised Groups, Service User Empowerment and Experts by Experience
	The Contributions That Mental Health Nursing Can Make
	Chapter Summary
	Organisation of the Remaining Chapters of the Book
	References
Chapter 2: Perspectives on Formulation Within Current Mental Health Nursing Practice
	Using Formulation Within Mental Health Nursing Practice: What the Literature Says
	Critical Points for Inquiry from the Literature
		Being Explicit on the Purpose of the Formulation: Who Is It For?
		Organisational Structure and Support to Enable Mental Health Nurses to Use Formulation
		Where Is the Service User/Distressed Person’s Voice?
		Bringing in the Dimension of the Unique Qualities of Mental Health Nurses to Complement Formulation Processes
	Student Mental Health Nursing Views and Experiences in Using Formulation
	What This Exercise Has Demonstrated
	Reflections on This Exercise
	Chapter Summary
	References
Chapter 3: Three Functions of Using Psychoanalytic and Systemically Informed Perspectives in Case Formulation: Ways of Thinking About Distress in Others, Our Own Reflexive Contribution and Collaborative Formulation
	Introduction
	Formulation as an Ideological Structure
	The First Step of Formulation
	Domains of Thinking
	Reflexivity and Collaboration
	Chloe’s Story
	Psychoanalytical and Systemic Domain
	Formulation as a Supervisory Tool
	References
		Sources of Help
Chapter 4: Formulating Distress in Adults and Children Experiencing Physical and Mental Health Problems
	Introduction
	Background and Current Thinking
	Current Recommendations for Treatment of People with Mental Health and Physical Health Problems
	Georgia’s Story
	Anger and Frustration
	Loneliness and Isolation
	Spirituality
	Trauma
	Family and Other Relationships
	Mental Health Nursing Perspective
	Georgia’s Summary
	Summary
	References
Chapter 5: Formulating Interpersonal Conflict, Relationship Factors and Abuse
	Introduction
	Childhood Experiences
		Trauma in Childhood
	Domestic Violence
	The Impact of Relationship Disturbances in Adulthood
	Naomi’s Autobiographical Accounts
		Reactions to Autobiography
		Vickie
		Amina
		Naomi
	Formulation Perspectives
		A CBT Approach to Formulation
		A Psychodynamic Approach to Formulation
		Trauma-Informed Perspectives
		A Strengths Approach
		Naomi’s Views on These Formulations
	Towards an Integrated and Extended Application of Formulation in Mental Health Nursing
		Attachments, Relationships and Abuse
		Using Formulation to Understand, Develop the Therapeutic Relationship and Identify Support Approaches
		Using Formulation as a Component of Mental Health Nursing and Multidisciplinary Practice
		Where Does Formulation Fit in for the Mental Health Nurse’s Role in Exploring Safety?
	Summarising Key Areas of This Chapter
	References
Chapter 6: Formulation Considerations for Individuals Experiencing Emotional Distress and Substance Use
	Introduction
	Policy, Guidance and Public Health Landscape
	Case Study—Tatenda
	Considerations for Tatenda’s Formulation as a Key Part of the Nursing Process
	Assess
	Formulation
		Choice of Formulation Approach
	Which Underpinning Theories to Explore as Part of Tatenda’s Formulation
		Attachment Theory
		Theory on Dual Diagnosis
		Trauma Theory
		Theory on Loss
	Culturally Responsive Trauma Informed Care (TIC)
	Role of Religion
	Plan
	Implement
	Evaluate
	References
Chapter 7: Formulation to Support Individuals Who Are Experiencing Emotional Distress and Associated Self-Harm
	Introducing Betty
	Understanding Self-Harm
	How a Mental Health Nurse Might Approach Assessment and Formulation: A Home Treatment Team Example
	Planning Care Based on the Formulation
	References
Chapter 8: Practitioner Reflections on the Use of Formulation in Mental Health Nursing Practice
	Introduction
	Student Mental Health Nurses’ Formulation Reflections
		Toby Bell: Themes—Understanding Formulation, Theory to Practice
		Gemma Boswell: Themes—Formulation Use and Dementia, the Therapeutic Relationship
		Jade Graves: Themes—Team Formulation, Client Involvement
	Registered Mental Health Nurses’ and Other Professionals’ Views on Formulation and How This Fits with Current Practice and Roles
		Rachel Ramsbottom—Senior Practitioner/Community Mental Health Nurse in Adult Mental Health (Early Intervention in Psychosis Service)
		Pamela Johnson—Mental Health Nurse Working in Older Adult Services (Memory Clinic)
		Eren Mills: Mental Health Nurse—Team Leader at a Clinical Decisions Unit
		Lizzie Richardson—Lecturer in Mental Health, Previously Worked Five Years in the Access Team Which Was Previously Known as Single Point of Access (SPA)
		Courtney Lamb—Apprenticeship BSc Student Mental Health Nurse
		Michelle Gideon—Mental Health Practitioner Working Across Primary and Secondary Care
		Jeanette Jones-Bragg—Band 8 Service Manager, Adult Community Mental Health
		Lynette Robinson—Band 8 Senior Clinical Lead, Planned Care
		Emma Ballantyne—Mental Health and Wellbeing Practitioner (MHWP) Working in a Primary Care Mental Health Hub
		Bridget Flynn—Highly Specialist Psychological Therapist, Adult Community Mental Health and Clinical Lecturer for the Mental Health and Wellbeing Practitioner (MHWP) Programme, Specialist Adult Mental Health
		Natalie Turner—Clinical Associate Psychologist Working in Primary Care Mental Health
	Analysis and Summary of Key Themes of Accounts
		The Mental Health Nursing Role and Formulation
		Risk Assessment, Management and Formulation
		The Multidisciplinary Team and Formulation
		Personal Recovery Focused Approaches and Formulation
	Indications for Future Exploration, Development and Research
	References
Chapter 9: Postscript
	Introduction
	A Summary of Key Themes on Formulation from the Previous Chapters—Standing Back, Considering and Learning
		What We Have Learnt as the Book Editors
		Formulation, Concepts of Recovery and the Challenges Posed
		Formulation, Safety and Beyond
	How Does All This Fit into the Progression of Mental Health Nursing
	Embracing Diversity
	Research Gaps
	Considerations for Mental Health Nurse Education
	What the Future May Hold
	References
Index