Adaptive Formulation and Outcome Review Sheet [Integral Eye Movement Therapy (IEMT) Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Adaptive Formulation and Outcome Review Sheet ======

Use this concise record with the [[treatment_plans|IEMT Treatment Plans]] workflow and [[governing_principles|Roy-informed governing principles]]. It is a proposed planning aid, not a validated assessment scale or diagnostic instrument. It does not establish that IEMT is suitable for a particular person.

Copy the prompts into your practice records or use the printable sheet. Add detail where the work requires it. **Keep completed records in your secure practice system; do not enter client information on this public wiki.**

{{:0:adaptive-formulation-and-outcome-review.pdf|Download the one-page printable worksheet (PDF)}}

===== The record =====

^ Field ^ Complete with the client ^
| Record details | Client reference; practitioner; date; review date. |
| 1. Chosen life outcome | What would the client like to become possible? Why does it matter? |
| 2. Starting point | What happens now, in which situation, and how often? Record the client's account separately from observation. Agree a baseline indicator and any rating anchors. |
| 3. Demands and resources | Focal stimulus: what is most immediate? Contextual factors: what contributes? Residual influences: what remains uncertain? Note strengths, practical constraints and available support. |
| 4. Four-mode review | Physiological: rest, comfort and activity. Self-concept: meanings and values. Role function: responsibilities and limits. Interdependence: support and relationships. Record relevant strengths and difficulties. |
| 5. Working explanation | How might these factors relate? What supports this account? What is an alternative explanation? What is not yet known? |
| 6. Agreed action and consent | IEMT target if appropriate; rationale, options and uncertainties discussed; practical or support actions; who will do what; referral or coordination needs. How will the client pause or stop? |
| 7. Review and next decision | Compare the agreed indicators with baseline. Record the client's view, unchanged or unwanted effects, and other changes that could explain the result. Continue, revise, conclude, pause or refer: why, and when next? |

===== Three reminders =====

  * **A stimulus category is about its place in the present formulation.** A past event is not automatically residual, and an anticipated event can be the immediate focal stimulus. See [[treatment_plans#from_assessment_to_action|the planning workflow]] for definitions and examples.
  * **The outcome belongs in the person's life.** Record a practical indicator alongside any target feeling. Lower distress and improved functioning are related questions, not interchangeable measures.
  * **Uncertainty and disagreement are useful information.** Record "not known" where appropriate. A wish to stop, an imprecise rating or a report of no improvement does not itself establish resistance.

===== Worked examples and source =====

The [[treatment_plans#worked_examples|two worked examples]] show how to use the same record for a possible IEMT target and for circumstances where practical support takes priority. They are fictional and do not report treatment outcomes.

The categories and mode names come from [[https://www.msmu.edu/learning-and-research-communities/roy-adaptation-association/roy-adaptation-model/|the Roy Adaptation Association's account of the model]]. The prompts and their application to IEMT are proposals developed for this wiki, rather than a worksheet authored or validated by Roy.

{{tag>IEMT practice model}}