Resources
Practical tools for diabetes psychiatry
These resources translate the clinical model into tools for assessment, formulation, treatment and service development.
They are intended to be used and adapted, rather than followed as rigid protocols.
Diabetes Psychiatry Assessment Framework
From physical-health outcome to clinical formulation
A general specialist assessment framework integrating:
diabetes medicine • psychiatry • psychotherapy • social reality
The framework moves from identifying the physical-health problem through understanding diabetes behaviour and psychological processes to formulation, intervention and measurable outcome.
Recurrent DKA Assessment Framework
Why does DKA keep happening to this particular person?
A practical framework for:
reconstructing DKA
identifying patterns
understanding insulin behaviour
assessing psychological and psychiatric processes
understanding the relationship with diabetes
formulating recurrence
identifying a realistic lever.
Severe Persistent Hyperglycaemia Assessment Framework
A very high HbA1c is an outcome. It is not an explanation.
A developing framework for assessing persistent extreme hyperglycaemia, including HbA1c trajectory, diabetes behaviour, psychological and psychiatric processes, physical experience, affect and potential intervention.
How to Build a Diabetes Psychiatry Service
Clinical SOP v1.0
A practical framework for developing a high-risk diabetes psychiatry service.
It covers:
case finding • triage • assessment • formulation • intervention • continuity • risk • multidisciplinary working • staffing • outcomes • clinical governance.
The functions matter more than any particular staffing structure.
Psychotherapeutic case-management for high risk diabetes
We have developed a case-management framework which can be practiced by a single psychiatry clinician embedded in a diabetes department. This framework uses the core principles of diabetes psychiatry and is shaped by the need to deliver a high quality service in a time limited format. This document describes how the model is delivered in practice.
It covers assessment, formulation, treatment structure and duration, active case-management, and the use of physical-health outcomes to evaluate change.