Formulation: a proposal for a more structured, longitudinal approach

Abstract

Objective: The aim of this study was to consider formulation enabling a longitudinal perspective to improve the quality of clinical information.

Method: An overview of RANZCP guidelines for formulation, our observations of formulation in practice, and consideration of the requirements of current clinical documentation systems were employed.

Results: A five paragraph structured approach to formulation, with an example, is proposed.

Conclusion: A structured schema for longitudinal formulation offers advantages for mental health services working over time with consumers with severe and enduring illnesses and should be considered in the development of clinical information systems.