Drawing in not encouraging away: systemic team formulation to support the trauma-informed care of a lady with intellectual disabilities, in the context of COVID-19

Nicola Gregson, Claire Delaney

Research output: Contribution to journalArticlepeer-review


Purpose: The purpose of this paper is to present a case study using a systemic team formulation approach, in the context of supporting a women with intellectual disabilities with a history of trauma. Design/methodology/approach: A reflective stance is used to describe the process of assessment, hypothesising, formulation and intervention in a single case study design. Findings: Feedback from care staff suggests that they found a team formulation approach helpful to improve their understanding of the service user they support. Practical implications: The paper discusses how systemic team formulation can draw on trauma-informed care principles in the context of supporting an individual with an intellectual disability. Future research should aim to replicate the approach for findings to be applied more broadly. COVID-19 has meant clinical working has had to be adapted, clinicians should carefully consider how collaborative and meaningful work can continue to be facilitated within the current parameters. Originality/value: This case study contributes to the literature in the use of systemic team formulation interventions within an intellectual disability context, drawing on trauma-informed care principles and reflecting on adapted working within the COVID-19 pandemic.

Original languageEnglish
JournalAdvances in Mental Health and Intellectual Disabilities
Early online date7 Jun 2021
Publication statusE-pub ahead of print - 7 Jun 2021


  • COVID-19
  • Intellectual disabilities
  • Systemic
  • Team formulation
  • Trauma-informed care

ASJC Scopus subject areas

  • Psychiatry and Mental health

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