Psychosocial Element
|Psychosocial Risk & Protective Factors |Action /tools/considerations | |
|Individual |Suicide |Elicit degree of risk using semi structured interview and |
| |Self Harm |risk assessment tools e.g.: Worthington scale, Dices. |
| |Substance misuse |Explore perspective of other family members if appropriate. |
| |Absconding | |
| |Treatment resistance/ motivation | |
| |Compliance with self care including refeeding. | |
|Family | |Work with the family and /or sufferer to |
| | |Identify patient and family’s: |
| | |Experience of family functioning, life events /transitions. |
| |Past and current family functioning |Ideas re: precipitating & perpetuating factors of the ED |
| |Contribution to the exacerbation and /or |Impact of ED on family. |
| |Perpetuation of ED. |Understanding of ED and risks |
| |Family’s potential as a resource to treatment and |Protective /resilience factors |
| |recovery. |Description of frequency and types of crises |
| |Family’s experience of and response to crisis. |Response to crises, |
| |Past / current physical, sexual, emotional abuse. |Assessment of family members’ capacity to develop new ways of|
| |Family’s ability to recognise and manage risk, |coping with crises. |
| |access support and guidance |Low tolerance areas |
| | |Motivation for supporting treatment |
|Work |Identify significant stressors. |Identify patients: |
| |Identify risk re: impaired physical and cognitive |Typical working day. |
| |functioning in work place. |Machinery / driving involved |
| |Explore work as perpetuating the ED e.g. |Relationships with /responsibilities for colleagues. |
| |Striving for perfectionism |Drivers/motivation for work. |
| |A means of food avoidance |Estimate energy input output equation within a normal working|
| |A means of increasing energy output. |day. |
| |A mask for the existence of the ED |Explore return to work as a motivating factor for treatment |
| | |compliance |
|Social /cultural |Identify significant risks in respect of self | |
|influences |harming behaviours in relation to context and peer| |
| |group and duration of influence. |Explore detail of risk and protective / motivating factors |
| |Explore any significant vulnerability to cultural |with patient and family if appropriate. |
| |/media pressures and the reactive eating disorder | |
| |behaviours. | |
| |Identify degree of risk from social | |
| |integration/isolation | |
| |Identify impact of relationship with ED on social | |
| |functioning | |
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