Skip to main content

Care programme approach: relapsing or recovering?: Revisiting… Making care programming work

  • David Kingdon and Shabbir Amanullah

The care programme approach (CPA) has become an accepted part of clinical practice, despite the continuing lack of strong direct evidence of its value. Guidance from the Department of Health has refined the original requirements, which were to ensure health and social care assessment, discharge from hospital to appropriate accommodation with necessary support, appointment of a mental health professional to draw up a care plan, and coordination of its implementation with necessary follow-up. The CPA now specifies that care plans include provision, as necessary, for risk assessment and management, employment, leisure, accommodation and plans to meet carers' needs. Levels of care have been simplified to ‘standard’ and ‘enhanced’. In future it will need to incorporate issues arising from the development of specialist teams as part of the National Health Service Plan, concern about the physical healthcare of those subject to it and the continuing development of psychosocial interventions.

Hide All
Allness, D. J. & Knoedler, W.H. (1998) The PACT Model of Community-based Treatment for Persons with Severe and Persistent Mental Illnesses: A Manual for PACT Start-up. Arlington, VA: Programs of Assertive Community Treatment, Inc. (NAMI).
Bindman, J., Beck, A., Thornicroft, G. et al (2000) Psychiatric patients at greatest risk and in greatest need: impact of the Supervision Register Policy. British Journal of Psychiatry, 177, 3337.
Department of Health (1990) Caring for People. The Care Programme Approach for People with a Mental Illness Referred to Specialist Mental Health Services. Joint Health/Social Services Circular. C(90)23/LASSL(90)11. London: Department of Health.
Department of Health (1995) Building Bridges: A Guide to Arrangements For Inter-agency Working for the Care and Protection of Severely Mentally Ill People. London: Department of Health.
Department of Health (1999) Effective Care Co-ordination in Mental Health Services: Modernizing the Care Programme Approach – A Policy Booklet. London: Department of Health.
Department of Health (2000) The NHS Plan (Cmnd 4818–I). London: Department of Health.
Department of Health (2002) Community Mental Health Teams. Mental Health Policy Implementation Guide. London: Department of Health.
Department of Health (2004) Guidance on New Ways of Working for Psychiatrists in a Multi-disciplinary and Multi-agency Context: National Steering Group. Interim Report. London: Department of Health.
Department of Health and Social Security (1988) Report of the Committee of Inquiry into the Care and After Care of Sharon Campbell (Chairman: J. Spokes). London: HMSO.
Franklin, D., Pinfold, V., Bindman, J. et al (2000) Consultant psychiatrists' experiences of using supervised discharge. Results of a national survey. Psychiatric Bulletin, 24, 412415.
Health Services Research/Community Psychiatry (PRiSM) (2005) Threshold Assessment Grid (TAG). London: Institute of Psychiatry.–
Henderson, C., Flood, C., Leese, M. et al (2004) Effect of joint crisis plans on use of compulsory treatment in psychiatry: single blind randomised controlled trial. BMJ, 329, 136.
Kingdon, D. (1994a) Making care programming work. Advances in Psychiatric Treatment, 1, 4146.
Kingdon, D (1994b) Care programme approach, recent government policy and legislation. Psychiatric Bulletin, 18, 6870.
Kingdon, D. (1998) Reclaiming the care programme approach. Psychiatric Bulletin, 22.
Royal College of Psychiatrists (2004) Good Psychiatric Practice (2nd edn) (Council Report CR125). London: Royal College of Psychiatrists.
Simpson, A., Miller, C. & Bowers, L. (2003) The history of the Care Programme Approach in England: where did it go wrong? Journal of Mental Health, 12, 489504.
Social Services Inspectorate (1999) Still Building Bridges. London: Department of Health.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
Type Description Title
Supplementary materials

Kingdon and Amanullah supplementary material
Supplementary Material

 PDF (37 KB)
37 KB


Full text views

Total number of HTML views: 0
Total number of PDF views: 4 *
Loading metrics...

Abstract views

Total abstract views: 8 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 19th March 2018. This data will be updated every 24 hours.

Care programme approach: relapsing or recovering?: Revisiting… Making care programming work

  • David Kingdon and Shabbir Amanullah
Submit a response


No eLetters have been published for this article.


Reply to: Submit a response

Your details

Conflicting interests

Do you have any conflicting interests? *