Using case formulation for assessing and intervening with engagement difficulties

Abstract

A practice algorithm (Jones 2002a) for assessing and intervening with engagement is reviewed and proposals suggested for revision. Areas examined include: 1) identifying strengths as an assessment strategy that has motivational consequences 2) using a goals based model for describing client positions 3) developing a model for working with those with no apparent wish to engage 4) addressing state and or situation dependent engagement dynamics 5) identifying when to stop trying. An idiographic approach to working with engagement involving an individualised account of 'what works', based on past and current evidence of effective interventions is proposed. The importance of case formulation is highlighted. Interventions using strategies developed for working with engagement issues with people with psychosis, solution focussed and narrative therapy techniques and Interpersonal Reconstructive Therapy are explored. (PsycINFO Database Record (c) 2016 APA, all rights reserved)