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Many of the formulation tools that are available are used primarily to inform clinicians on how to tailor interventions, rather than a tool to inform individuals.

Collaborative consultation is now widely supported should be used whenever the individual has the capacity to participate, as this encourages engagement in care.

The PET Model has been developed to provide clients with the ability to empower themselves.

Origins of the PET Model

The PET Model was created in the early 1980s by Andrew “Kyp” Kyprianou, a social worker, disability advocate and leader. Kyp’s underpinning philosophy was:

“Knowledge is power. You can’t empower people, you can only provide them with the ability to access the information to empower themselves”

Designed as a collaborative formulation tool

The PET Model was designed primarily as a collaborative formulation and education tool to help individuals identify the strengths and weaknesses in their presentation across three systems:

  • P – Physical 
  • E – Emotional  
  • T – Thinking

The PET Model was developed to be a simple and visual tool to display multidirectional interplay of all three systems and to allow the individual to easily understand and visually see that when one system is challenged, the other two follow suit in most instances.

The PET Model in action

The PET Model in action deals with the following:

  • Formulation
  • Goal setting
  • Reviewing progress
  • Maintenance phase
  • Relapse prevention
The PET Model has been used successfully in the following settings:

  • Hospital wards, including physical rehab, geriatric dementia wards, chronic pain clinics
  • Child and adolescent mental health primary health services
  • Adolescent community based mental health services
  • Veterans and their families’ services
  • Remote and regional services and disability organisations.
I have utilised the model both in clinic and via video conferencing (telehealth). The flexibility of the model means that no matter the presentation, the principles of formulation and goals establishment can be applied.

If one system is challenged, the other two follow suit in most instances. And inversely, if improvements can be made in one system, the others follow.

Example of challenged systems

Family conflict = Stress (E), = autonomic nervous system – elevated HR, digestive symptoms (P) = issues with appetite = drop in nutrition = drop in energy (P) = drop in motivation to participate in dopamine producing activities = drop in mood (E) = difficulties concentration and memory (T), Dopamine seeking, Dirty Dopamine = gambling, gaming, junk food, substances (P) further family conflict due to dirty dopamine seeking (E)

Rumination re: how stressful things are (T) early signs of auditory hallucinations (T) distress related to these (E) Fear of others judgement (E) isolate self further from dopamine producing activities (E) loss of fitness from lack of engagement in activities (P)

Example of improving systems

Psychoeducation with family on stress and PET with clear goals for improvement = hope for change and reduced stress (E) Review medication requirements to reduce auditory hallucinations (T) = reduced stress (E) Blood test – identify deficiencies – manage via diet and supplements = improved energy (P) = improved executive functioning including concentration, memory (T) = reduced stress in drop in functioning (E) Identify meaningful and/or pleasurable activity = lift in mood (E) Use memory aids to assist executive functioning to manage appointments and activities (T)

Commence graded introduction to physical activity, to avoid boom/bust when re-engaging (P).

Remove barriers to engaging in improvement strategies

In most instances, the T system is already exhibiting challenges when individuals present for support. It is worth considering the use of memory aids such as calendars, alarms, reminders or third party supports to ensure that any improvement strategies are engaged with. Goal setting sheets are recommended. Commence graded introduction to physical activity to avoid boom/bust when re-engaging (P).

We hope you found this information relevant and interesting and we hope to help you to help others

For more information or to book a training session, fill in the form and we will be in touch soon.

Allied Health Training

Spreading the word and helping more people access the PET Model

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