ABSTRACT

The framework set out in Figure 4.1 outlines the stages of consultation from the initial receiving of a referral letter to the point where the case is closed. In the first stage a plan for conducting the intake interview is made. The second stage is concerned with the processes of engagement, alliance building, assessment and formulation. In the third stage, the focus is on case management, the therapeutic contract, and the management of resistance. In the final stage, disengagement or recontracting for further intervention occurs. In this chapter principles of good clinical practice for each of these stages of the consultation process will be given.