Get Enhancing Skills In Clinical Case Formulation - Rcpsych Ac

The '5 P's' model (predisposing factors, precipitating factors, presenting problems, perpetuating factors and protective factors) can be used to support a broad biopsychosocial understanding of difficulties, strengths and what might be helpful (Kuyken et al., 2009).

The 5Ps is however commonly associated with the CBT model, in line with Johnstone and Dallos (2014). Therefore, for our example, I will use this Biopsychosocial idea and draw on a range of different underpinning approaches, however coming predominantly from a CBT perspective.

The four “Ps” of case formulation (predisposing, precipitating, perpetuating, and protective factors) also provide a useful framework for organizing the factors that may contribute to the development of anticipatory distress (Barker, 1988; Carr, 1999; Winters, Hanson, & Stoyanova, 2007).

The 5Ps highlight an approach that incorporates Presenting, Predisposing, Precipitating, Perpetuating, and Protective factors to a consumer's presentation.

It should always include the following: (1) a discussion on the diagnosis (2) aetiological factors, which seem important, as well as taking into account (3) the patient's life situation and background, with (4) a plan for treatment and (5) an estimate of the prognosis.

The four “Ps” of case formulation (predisposing, precipitating, perpetuating, and protective factors) also provide a useful framework for organizing the factors that may contribute to the development of anticipatory distress (Barker, 1988; Carr, 1999; Winters, Hanson, & Stoyanova, 2007).

Components of Case Formulation Problems: Psychological symptoms and features of a disorder, and related problems in various areas of life—social, interpersonal, academic, occupational. Mechanisms: Psychological factors—cognitive, behavioral—that cause or maintain the client's problems.

They conceptualized a way to look at clients and their problems, systematically and holistically taking into consideration the (1) Presenting problem, (2) Predisposing factors, (3) Precipitating factors, (4) Perpetuating factors, and (5) Protective factors.