Assessment and Formulation Case Presentation

The case presentation will be of individual parent work using Incredible Years Home Coaching with a child with regulatory difficulties.

The purpose of the case presentation is to demonstrate your grasp of the application of social learning theory principles to clinical practice and to demonstrate your skills in assessment and formulation. 

The presentation will consist of a PowerPoint with video clips presented alongside. There will be two clips presented from the individual parent work, of approximately 2-4 minutes length each. The first clip will demonstrate a part of the assessment process, as per the marking criteria. The second clip will demonstrate a part of the formulation/conceptualisation process, as per the marking criteria.

Guidelines

Trainees will be assessed on the following dimensions:

*Assessment

Should include:

  • Reason for referral.
  • Presenting problem(s).
  • Relevant background/personal information, including development of the problem, predisposing and precipitating information, and current social circumstances.
  • A genogram of the family.
  • Risk assessment.
  • A parenting assessment of the presenting problems – including a description of identified situations/triggers, cognitions, emotions, and behaviours of both the child and the parent/carer.
  • Identified treatment goals for therapy (focus on SMART goals).
  • Issues relating to engagement and the therapeutic alliance.
  • Reference to assessment protocols in NICE guidance.
  • Use of a relevant model to guide assessment, formulation and intervention (if appropriate).
  • Scores on IAPT routine outcome and assessment measures.
  • Details of further contextual information as appropriate including quality of parenting, the inter-parental relationship including domestic abuse, parental mental health, suitability for individual vs. group intervention, support networks.
  • Socialisation to the model and suitability for the intervention.
  • Relevant disorder specific assessment questionnaires (as appropriate).

*Conceptualisation / Formulation

  • Where a particular model has been used to guide formulation, this should be referenced and accurately described.
  • Each factor of the formulation should be described in terms of how this relates to the presence or maintenance of the presenting problem for the child and/or parent
  • There should be a description of the case conceptualisation (how the problems have been understood) and clarified by a diagrammatic representation of this understanding. The diagram will mostly relate to the perpetuating/maintenance factors.
  • Diagrams used should be supported by description within the text.
  • The formulation should link and explain the presence of and maintenance of the presenting problem(s) and where relevant the development of the problem.
  • The formulation should relate to the client’s goals and flow from the assessment.
  • Ensure a focus on collaboration with explicit client contribution.

*Intervention Plan

The intervention plan should:

  • Directly relate to and flow from the case conceptualisation – help to understand how the intervention will address the family’s difficulties.
  • Rationales for the interventions should be present – why the intervention is suitable and what aspects of the intervention are needed to help support the family.
  • Relate to the client’s identified goals.
  • Include reference to relevant NICE guidelines / manuals / models(s).
  • Include specific aspects of the intervention that are likely to help the family, directly related to the formulation
  • Comment on the non-specific aspects of the therapeutic relationship/skills used to deliver interventions which are likely to support the process.
  • Identify anticipated difficulties, guided by the assessment and formulation process.

*Link of theory to practice

This is covered to some extent in previous areas. 

 

Throughout the presentation you need to:

  • Relate the clinical work carried out to relevant social learning theory and other relevant parenting models.
  • Use theory to guide your assessment, formulation and intervention plan and guide your thinking about this case.
  • Refer to and make use of the relevant literature pertaining to this family/group.

Self-reflectivity

Throughout the presentation you should demonstrate a reflective approach to the work you carried out and the use of methods/tools to aid this process. For example, we would expect you to provide a rationale for the work carried out that draws on your ability to reflect on theory/therapeutic alliance/socio/political/organisational/professional and ethical factors.

Reflection may involve demonstrating an awareness of the way that your own assumptions/beliefs might impact on the process and outcome of therapy with due consideration of how this may shape and develop your practice in the future.

You may find it helpful to provide an outline of any tools or mechanisms that you used in order to aid this process (e.g. supervision discussion, protected preparation time for therapy & supervision sessions, thought records, listening to session recordings etc.). 

Awareness of professional issues (including confidentiality)

Your work should demonstrate good professional awareness, e.g. awareness of:

  • Issues of risk
  • Ethical issues
  • Power dynamics
  • Issues of diversity and difference and its impact on the therapeutic relationship.

Client confidentiality - anonymised biographical data must be used throughout the presentation, i.e. you need to change any names and identifying information and make it clear that this has been done.

Structure and style of presentation

Marks will be awarded for a well-structured and well-presented case presentation.  Use of PowerPoint is strongly encouraged and PowerPoint slides (or equivalent document) should include prompts/bullet points to aid presentation and discussion of the case. The case presentation should flow in a logical manner and any slides/hand-outs provided should be relevant and aid the markers.  The slides will be required to be submitted to the markers following the presentation.

Be mindful of your use of language, both regarding the use of colloquialisms and jargon. Where appropriate you may make use of diagrams, tables and bullet points in the presentation to clarify information.

A possible structure could be based on the marking criteria e.g.: Introduction to the presentation, reason for referral, presenting problem(s), assessment, formulation, intervention plan and critical evaluation/discussion.  Theory to practice links, self-reflectivity and professional issues could be covered throughout the presentation.

Your case presentation should be clearly presented and you may wish to consider practicing your presentation beforehand where possible.  Consider any preparation time needed for the set-up of your presentation as this should be kept to a minimum. Put any aids (e.g. PowerPoint document) onto a memory stick and position any other aids needed (e.g. flipchart, handouts) at the beginning of your presentation.

References

References should be given throughout the presentation and provided on a slide at the end. For simplicity of visual presentation, references in the presentation slides can be shortened to ‘et al.’.

The reference section at the end MUST conform to APA guidelines.  Please check and double check references in terms of accuracy, consistency and ensuring that all references in the presentation slides/text are referred to in the reference section.

Spelling, grammar, typographical errors

You will be marked down for typographical, grammatical and spelling errors on any slides/hand-outs you provide.  If you have problems in this area please use the study skills department.

Length of Presentation

The case presentation should be a maximum of 30 minutes duration. The presentation will be halted at 30 minutes and information not presented will not receive credit.

Re-submission Criteria

A failure on two or more of the key areas will result in an overall fail. In the case of an overall fail, the trainee will be required to provide a re-submission.

 * Indicates a key area


Download: 0-5s Case Presentation Mark Sheet