Strengthening Clinical Reasoning in Practice Using Clinical Reasoning

Strengthening Clinical Reasoning in Practice Using Clinical Reasoning from Assessment and Understanding through Case Formulation to the Planning of Outcomes, Strategies, and Actions

Module 1 Components of Practice Clinical Reasoning & Case Formulation Modules • By Ray Foster & Kate Gibbons for New Mexico BHSD, 2017

Module 1 : Session 1 What is “Practice”? Clinical Reasoning & Case Formulation Modules • By Ray Foster & Kate Gibbons for New Mexico BHSD, 2017

What is Practice? Practice consists of the things we do to help a person in need to get better, do better, and stay better in life. Practice involves conceptualizing, organizing, and providing interventions that change lives and achieve essential outcomes related to resiliency and recovery. Effective practice depends on clinical wisdom and practical problem solving to

Why Do Practice? • PURPOSE OF PRACTICE -- Helping a person having disruptive life needs and/or threats of harm to achieve and maintain adequate levels of: [Life. Change Outcomes] – Well-Being (safety, stability, health, mental health, sobriety, etc. ) – Supports for Living (having housing, income, health care, childcare, transportation necessary for daily living and normal functioning) – Daily Functioning (performing age-appropriate tasks necessary for successful daily living in normal settings) – Fulfillment of Key Life Roles (a youth being a successful student and friend an adult being a successful parent, employee, tenant, and citizen)

Social Purposes for BH Services Building Child Resiliency Social Purpose: Using well integrated and coordinated services to keep youth with disabilities successful in their homes, families, and schools Outcomes: Building youth resiliency and family capacities to meet the youth’s needs at home and in the community Supporting Adult Recovery Social Purpose: Helping adults with disabilities to improve their health and wellness, live a selfdirected life, and strive to reach their full potential Outcomes: Improved wellbeing, daily functioning, productivity, social integration, and recovery

Concept: NEED A NEED is an unmet condition required for a person to achieve and maintain well-being, supports for living, adequate functioning, and fulfillment of essential life roles. Clinical Reasoning & Case Formulation Modules • By Ray Foster & Kate Gibbons for New Mexico BHSD, 2017

Maslow’s Hierarchy of Need

Maslow’s Hierarchy of Need Satisfying needs is healthy. Unmet or unsatisfied needs can lead to illness or violence. People deprived of lower needs may risk safety or defend themselves by violent means. [This is why safety is the second level; people will risk their safety to have food, water, shelter, etc. ] http: //pegasus. cc. ucf. edu/~rbrokaw/maslow. HTM Clinical Reasoning & Case Formulation Modules • By Ray Foster & Kate Gibbons for New Mexico BHSD, 2017

Maslow’s Hierarchy of Need Self transcendence-care for others; humanism Self actualization-desire to become more Esteem- mastery, recognition Love and Belonging-social connection Safety-certainty, consistency, safety Physiological- basic needs http: //pegasus. cc. ucf. edu/~rbrokaw/maslow. HTM

Maslow’s Hierarchy of Needs are “prepotent”: a need having the greatest influence over one’s actions; vary by individual. According to Maslow, when deficiency and prepotent needs are met, higher order needs begin to emerge and dominate. When individual needs are met consistently, self actualization and transcendence can occur. http: //pegasus. cc. ucf. edu/~rbrokaw/maslow. HTM