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Risk Response Balance Sheet: It involves exploring potential scenarios that may develop between the point of assessment and the next appointment and coproducing safely measures.

Key Concept

o Gain comittment by normalising desire to be pain free

o Capture dynamic risk factors and brainstorm solutions

o Balance sheet bottom line will guide assessment outcome

Key Principles

Balance and Wheel

Assuring Safety on the Recovery Journey

PROTECT Week Three: Coproduce Risk Response

How to balance risk and recovery in the short and long run?

Gain Knowledge:

• What is the risk balance sheet approach?
• What is the progress wheel?
• What are the different approaches to managing risk in diiferent therapeutic contexts?

Develop Understanding:

• Why is it important to explore all options?
• Why is it better to segregate safety in the here and now and safety in the long run?
• When and where is which approach appropriate?

Refresh Skills:

• How to break down risk to a granular level?
• How to make a safety plan that mitigates every identified grain of risk?
• How to involve the person and their natural circle of support in the process?
• How to create and interpret the balance sheet bottom line and gain commitment from all parties?
• How to work with the person to understand triggers, thoughts and feelings?
• How to support the generation of alternative appraisals and feeling states and modulate the distress response

Modulation Wheel: To assure longer term safety it is important to understand triggers and create alternative appraisals which can alter the feelings and modulate responses (CBT approach).

Key Concept