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Developing and implementing a digital formulation informed risk management framework in mental health and learning disability services

Michael Doyle (School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK and South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK)
Mike Garnham (South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK)
Sharon Carter (South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK)
Mike Ventress (South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK)

The Journal of Mental Health Training, Education and Practice

ISSN: 1755-6228

Article publication date: 18 April 2022

Issue publication date: 20 September 2022

275

Abstract

Purpose

Risk assessment is a fundamental part of clinical practice in mental health and learning disability services in the UK. Most services use a tool or framework to structure their clinical judgments, but there does not appear to be a consensus on which risk assessment tool should be used. This paper aims to describe the development, implementation and evaluation of an evidence-based formulation informed risk management (FIRM) framework in mental health and LD services.

Design/methodology/approach

The development of FIRM and evaluation was based on the model for improvement, with an emphasis on co-production broken down into three distinct yet interdependent phases of co-production: co-design, co-create and co-deliver. Following the implementation of the FIRM framework, a post-implementation survey was distributed to a sample of clinical staff to capture experiences in the first three months post-implementation.

Findings

The three co-production stages were pivotal for successful implementation in clinical practice. The key ingredients for success seemed to be acknowledging human factors and varied responses to change, communication, engagement and involvement of stakeholders. Early evaluation post-implementation demonstrated the benefits in terms of confidence in use, formulation of risk, risk management and communication. Further quality improvement initiatives are underway to evaluate impact up to 12 months post-implementation and to improve the quality of FIRM in practice. Future research is planned to look at enhancing personalised risk assessment and management.

Originality/value

This paper describes and demonstrates the value of co-production with clinicians and stakeholders in service development. The FIRM has improved the clinical practice of risk assessment, formulation and management and use of digital technology.

Keywords

Acknowledgements

Conflict of interest: There are no conflicts of interest to report.Ethics: The project did not require ethical approval as it was a service development using an improvement methodology.

Citation

Doyle, M., Garnham, M., Carter, S. and Ventress, M. (2022), "Developing and implementing a digital formulation informed risk management framework in mental health and learning disability services", The Journal of Mental Health Training, Education and Practice, Vol. 17 No. 6, pp. 495-505. https://doi.org/10.1108/JMHTEP-09-2021-0113

Publisher

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Emerald Publishing Limited

Copyright © 2022, Emerald Publishing Limited

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