Skip to main content
×
×
Home

Reforming care without bureaucracy

  • Peter Tyrer (a1)
Abstract

The Care Programme Approach was a valiant attempt to improve the aftercare of people with severe mental illness after discharge from hospital. It was introduced as a response to a scandal, not an advance in knowledge, and has always suffered by being a reaction to events rather than a trailblazer for the future. It may have dragged the worst of care upwards, but at the expense of creating a bureaucratic monstrosity that has hindered good practice by excessive attention to risk, and vastly increased paperwork with intangible benefit. It needs to be simplified to allow practitioners greater scope for collaborative solutions, less minatory oversight and better use of strained resources.

Declaration of interest

None.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Reforming care without bureaucracy
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Reforming care without bureaucracy
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Reforming care without bureaucracy
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Peter Tyrer (p.tyrer@imperial.ac.uk)
Footnotes
Hide All

See this issue.

Footnotes
References
Hide All
1Kingdon, D. Care programme approach: time to move on? BJPsych Bull 2018; (this issue).
2Spokes, J. Report of the Committee of Inquiry into the Care and After-care of Miss Sharon Campbell. Department of Health and Social Security, HM Stationery Office, 1988.
3Tyrer, P, Morgan, J, Van Horn, E, Jayakody, M, Evans, K, Brummell, R, et al. Randomised controlled study of close monitoring of vulnerable psychiatric patients. Lancet 1995; 345: 756–9.
4Simmonds, S, Coid, J, Joseph, P, Marriott, S, Tyrer, P. Community mental health team management in severe mental illness: a systematic review. Br J Psychiatry 2001; 178: 497502.
5Goldberg, D. Improved investment in mental health services: value for money? Br J Psychiatry 2008; 192: 8891.
6Norman, IJ, Peck, E. Working together in adult community mental health services: An inter-professional dialogue. J Ment Health 1999; 8: 217–30.
7Simpson, A, Bowers, L, Miller, C. The History of the Care Programme Approach in England: Where did it go wrong? J Ment Health 2003; 12: 489504.
8Department of Health. Refocusing the Care Programme Approach: Policy and Positive Practice Guidance. Department of Health, 2008.
Recommend this journal

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

BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

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

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Reforming care without bureaucracy

  • Peter Tyrer (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *