ABSTRACT

Our interest in the continuing relevance of behavioural interventions has taught us that to deliver these well requires considerable consistency by the team, with gains not necessarily being generalised into community settings. Here, we build on the distinction highlighted in our CARM formulation between internal and external factors and consider interventions for distress and problematic risk behaviour across setting events and triggers.

Understanding the function of the behaviour is key to utilising a range of complementary psychological approaches to enhance recovery and well-being, integrated around the notion of more effective functional behaviour.

Whilst we draw upon a variety of psychological evidence, the SAFE approach guides how these are integrated into a multidisciplinary understanding of factors that are hypothesised to maintain difficulties for service users and suggests potential interventions. Understanding what matters to the person is a key component of such an approach, as subjective well-being and quality of life can only be truly defined and understood by the individual who experience them.