ABSTRACT

The Shared Assessment, Formulation and Education (SAFE) approach described in this book offers an integrative approach to working in a multidisciplinary context with people with psychosis who do not respond to the best-quality, evidence-based standard care currently available. Often these clients have so-called chronic residual symptoms but frequently the barrier to successful community living and integration is not these persistent symptoms but the problematic behaviours they present with (which may or may not be symptom related). It may be tempting to view this book as concerning risky individuals who are chiefly the province of forensic or specialist community services dealing with those perceived as presenting most risk. We have worked across many different service areas, however, and have found problematic behaviours in people with psychosis to be common. Frequently, these serve as barriers to obtaining effective care; generating hopelessness and pessimism in those involved. We hope that this book will offer new ideas and solutions to working with such individuals and those involved in their care.