ABSTRACT
Part 5 considers the underlying principles and practice of risk management and the use of the information gathered at assessment, developed into a formulation, to progress to risk management with a goal of risk reduction. It looks at mental capacity, including the complex nature of capacity with someone with emotionally unstable personality disorder. It discusses key issues such as entrapment, the arrested flight model and what has been termed ‘the suicidal brain’. Negotiating and writing a care plan for the purposes of risk management is explored in depth, including a demonstration of a framework for a risk management plan, the principles of care planning, a structure for writing care plans in community and inpatient settings, examples of risk management plans and clinical examples detailing how the conversation might develop in practice. There is then a section on a risk management plan for the non collaborative person and how this can be structured. Again, clinical examples are used to explore how this might be used in practice. Risk management that is proactive and enabling (sometimes termed therapeutic or positive risk management) is detailed, including a checklist that can be employed when these techniques are being used. Relapse profiles and crisis plans are detailed. Good practice in record keeping and documentation is discussed.
