Team formulation in Early Interventions in Psychosis (EIP): Findings from a service evaluation

Abstract

IntroductionPsychological therapists should be leading on the development of formulation within multidisciplinary teams, supporting psychologically-informed practice. This evaluation investigated the impact of team formulation for clinicians in an Early Intervention in Psychosis (EIP) service.MethodA mixed-methods design was employed. Clinicians’ self-reported knowledge and confidence in developing psychological formulations, satisfaction with team formulation, and perceived access to support were assessed using an online survey. Focus groups were conducted to understand participants’ experiences of team formulation, including their learning and any perceived impact on patient care. Qualitative data were analysed using inductive thematic analysis.ResultsA total of 7 participants gave survey responses. High ratings were observed for perceived helpfulness of the groups (9.26 out of 10), effective use of clinical time (7.57 out of 10), access to support within the team (9.93 out of 10), and confidence in developing formulations as a team (8.83 out of 10). Moderately high ratings were given for confidence in developing formulations independently (6.67 out of 10), and knowledge of different formulation approaches (6.83 out of 10). Six participants were represented across two focus groups. Three themes were identified: (1) Getting Along to Formulation Meetings, (2) Collective Responsibility & Psychological Safety, and (3) Holistic Focus & Quality of Care.ConclusionsThe results supported ongoing delivery of team formulation in EIP. Recommendations were outlined which could be relevant to other services.