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Case formulation for the psychiatric assessment

Case formulation in psychiatry: do we treat symptoms or do we solve obstacles of individual agency? A single-blind randomised controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN15831929
Enrollment
80
Registered
2018-06-20
Start date
2015-01-13
Completion date
Unknown
Last updated
2020-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Psychiatric assessment phase with the patients' diverse symptoms in a community mental health centre Mental and Behavioural Disorders

Interventions

The patients were randomised into two groups. The aim was to obtain 40 participants for both study arms. The randomisation was done immediately when the patient’s referral was approved and the assessm

Sponsors

Päijät-Häme Central Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with a referral for a psychiatric assessment, sent from primary, occupational, or student healthcare units, or from private practice 2. 18–65 years of age 3. Able to understand the study’s purpose and give written informed consent

Exclusion criteria

Exclusion criteria: 1. Subjects whose referral suggested any psychotic or neuropsychiatric disorders, such as attention deficit disorders and autism, or any cognitive disabilities 2. A referral for an emergency or urgent assessment (i.e. within 7 days) 3. The patient’s native language had to be Finnish

Design outcomes

Primary

MeasureTime frame
1. Self-assessment of the therapeutic alliance in psychotherapy using the Working Alliance Inventory (WAI) for the patient (WAI-P) and for the clinicians (WAI-T) at the treatment planning (i.e. final) visit. After the first visit, the number of assessment sessions was not known in advance because of the individual assessment process 2. Employee resources: the lengths of individual assessment sessions and periods, the number of and duration of visits and the number of clinicians who were involved in the various phases of assessment

Secondary

MeasureTime frame
The patient-clinician interaction from the patient-centered approach is investigated using qualitative conversation analysis

Countries

Finland

Contacts

Public ContactEnikö Savander

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026