A systematic review of team formulation in clinical psychology practice: Definition, implementation, and outcomes

Geach, Nicole and Moghaddam, Nima and De Boos, Danielle (2018) A systematic review of team formulation in clinical psychology practice: Definition, implementation, and outcomes. Psychology and Psychotherapy: Theory, Research and Practice, 91 (2). pp. 186-215. ISSN 2044-8341

Full content URL: http://doi.org/10.1111/papt.12155

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Abstract

Purpose
Team formulation is promoted by professional practice guidelines for clinical psychologists. However, it is unclear whether team formulation is understood/implemented in consistent ways – or whether there is outcome evidence to support the promotion of this practice. This systematic review aimed to (1) synthesize how team formulation practice is defined and implemented by practitioner psychologists and (2) analyse the range of team formulation outcomes in the peer-reviewed literature.

Methods
Seven electronic bibliographic databases were searched in June 2016. Eleven articles met inclusion criteria and were quality assessed. Extracted data were synthesized using content analysis.

Results
Descriptions of team formulation revealed three main forms of instantiation: (1) a structured, consultation approach; (2) semi-structured, reflective practice meetings; and (3) unstructured/informal sharing of ideas through routine interactions. Outcome evidence linked team formulation to a range of outcomes for staff teams and service users, including some negative outcomes. Quality appraisal identified significant issues with evaluation methods; such that, overall, outcomes were not well-supported.

Conclusions
There is weak evidence to support the claimed beneficial outcomes of team formulation in practice. There is a need for greater specification and standardization of ‘team formulation’ practices, to enable a clearer understanding of any relationships with outcomes and implications for best-practice implementations.

Keywords:case formulation, Psychological Formulation, Team formulation, clinical psychology, systematic review
Subjects:C Biological Sciences > C840 Clinical Psychology
Divisions:College of Social Science > School of Psychology
ID Code:29356
Deposited On:08 Nov 2017 16:35

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