ABSTRACT
A great deal of time and resources is often devoted to ensuring that the complex needs of individuals with treatment-resistant psychosis and problematic behaviours are met. In order to make the most effective use of these resources, we argue that there is a need for a framework to act as a service level formulation, in order to ensure that the result of these efforts (often involving lengthy assessments and sometimes case formulations) are explicitly incorporated and translated into care plans with clearly defined goals. In this chapter we focus on the context of care planning. We show how, using the International classification of functioning and disability, Beta-2 draft (ICIDH-2), World Health Organization model (WHO) model outlined in Chapter 2 (WHO, 1999), as a collaboratively constructed shared service level formulation, provides a clear focus for care planning. The ultimate goal of this process is to engage the client and help them to achieve their goals and improve their quality of life, social participation (as long as this is wanted) and ordinary community living despite persistent symptoms and impairments.
