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

Michael Doyle, Mike Garnham, Sharon Carter, Mike Ventress

Research output: Contribution to journalArticlepeer-review

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.
Original languageEnglish
JournalThe Journal of Mental Health Training, Education and Practice
Early online date18 Apr 2022
DOIs
Publication statusE-pub ahead of print - 18 Apr 2022

Fingerprint

Dive into the research topics of 'Developing and implementing a digital formulation informed risk management framework in mental health and learning disability services'. Together they form a unique fingerprint.

Cite this