PRISM

Each individual is unique, and so should their formulation be. The Person-centred Reflective Integrated Service Model (PRISM) is a framework for collaborative formulation incorporating quality of life domains as seen through intrapersonal unique 'lenses' which aims to systematically examine the core of a person's needs, values and goals using a multidisciplinary approach. The domains are based on the current QOL evidence and literature. Griffith Psychology collaborates with trusted, experienced and affirming clinicians to apply the PRISM principles.

Teams can apply the PRISM framework to ensure a holistic, person-centred approach. Please see detailed use cases below.

Training is available on demand.

Downloadable resources are currently in development and will be offered free through this site.

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Real-World Applications

Create a shared formulation by diverse stakeholders
Focus on the complete individual needs of clients
Create a dynamic and shared goal map
Share planning between institutional and community services
Proactively manage major transitions
Proactively address inevitable service tension points (Choice and control vs risk, safety and boundaries vs growth and mastery)
Triage high impact domains
Prompt continuous improvement
Ensure holistic systematic approach
Facilitate deep, systematic and practical reflective practice

Why PRISM?

Conflicting agendas (forensic, mental health and disability lenses/approaches and priorities)

Lack of systematic examination of all individual needs resulting in a siloed approach

Hierarchical decision making - the most senior or loudest voice may be all that is heard while valuable understanding of the person is lost

Lack of understanding of inevitable conflicts

Lack of a proactive rather than crisis driven approach

Lack of shared vision

Lack of shared formulation of client

Lack of true multidisciplinary approach leading to stalemates in service delivery

Quality of Life Domains

Lenses

THE PROCESS

Start with the person and consider each individual lens as it applies to each QOL domain - strengths, challenges and impact.
Next, examine intersections - where two or more lenses impact on QOL, qualitiatively altering the impact, this intersectionality can have a profound impact on service effectiveness and service gaps yet is rarely examined.
For each involved service, consider natural conflicts in approach, goals and priorities
With as much collaboration as possible, involve the person early
Map out how conflicting service priorities will be incorporated and negotiate the most effective outcomes
Ensure all stakeholders are heard, including family and the individual concerned.
PRISM is iterative - thus, after initial formulation, the process should be repeated to monitor effectiveness of service provision and fit for the person.
This is best done within a reflective practice context involving each part of the multidisciplinary care team.

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PRISM is free to use. Additional resources and training offerings to come.