Definitions of 5P's
Define a Presenting Concern
a presenting concern is the concern that prompts a client to seek treatment.
What is a Case Formulation?
The biopsychosocial model is an interdisciplinary way of understanding a client/patient beyond a diagnosis or label, to being able to understand them from a holistic view.
It allows you to treat and support the person, rather than just simply a diagnosis.
It is about "What's going on with this person?" as opposed to "What's wrong with this person?“
How did a person get to where they are? and how can this person best be supported?
What are the client’s concerns?
What is the client’s perspective of the problem?
Is there a current mental health and Substance use DSM-5 diagnoses?
What are the clients' goals relation to the presenting concern?
What brings them to the session?
What items would fall under 'stabilization needs' in our case formulations?
- physical health
- psych needs
- risk!
- withdrawal management needs
Define Protective Factors
This includes the client's own areas of competency, skill, talents, interest and supportive elements.
Why do we use Case Formulations at FourCAST?
Case conceptualization is fundamental during the assessment phase that supports treatment planning
Case formulation organizes the client's presenting symptoms ,facilitates an understanding of the difficulties ,and enables the development have a comprehensive care management plan for ongoing work.
Your Case Formulation will guide treatment planning decisions that are theoretically grounded and culturally appropriate.
Please provide some examples of precipitating factors
Recent breakup in a relationship triggers the patient’s current depression
Recent use of marijuana triggers the patient’s psychosis
Recent start of school year triggers anxiety
- Depends!
- Some sections would fall under Mental Health, some would fall under Substance Use.
What score on a MMS would prompt you to send a referral to Mental Health Services?
10
Define Perpetuating Factors
These are any condition in the client, family, community or larger system that exacerbate rather than solve the problem.
What information informs case formulations?
- Intakes
- Cognitive Impairment Screeners
- GAIN SS
- MMS
- Safe T
- GAIN MI ONT
- Community Partner Records
Please provide some examples of predisposing factors:
Family and genetic history of vulnerability to psychosis
Adverse childhood experiences and early trauma
Poverty, systemic racism, oppression and colonialism
Where would a mental health diagnosis fall within the 5P's?
Depends (I know, its a trick question)
- It depends on the symptoms the client is experiencing. Are they experiencing something, acutely, chronically, or was it apart of their set up from childhood, is it all of them,etc.?
Define Predisposing Factors
are areas of vulnerability that increase the risk for the presenting concern.
What are the subtitles of case formulations at FourCAST?
-General Info
- Stabilization Needs
- Psychosocial History
- Mental Health
- Substance Use and Gambling
Please provide some examples of perpetuating factors
- Chronic stresses
- Chronic Illness
- Chronic unsafe housing
-Lack of insight
Define a Precipitating Factor
these are events or circumstances that immediately precede the presenting concern.
'Why now?'
'What acute event happened and how did it affect them?'
Please provide some examples of protective factors
Healthy relationships, connection with work, school
Healthy coping strategies
Insight
What are the two times where you do not authenticate something on emhware?
- CAS Case Notes