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Auditing the care programme approach for people with learning disability: a 4-year audit cycle

  • Afia Ali (a1), Ian Hall (a2), Claire Taylor (a3), Stephen Attard (a3) and Angela Hassiotis (a4)...
Abstract
Aims and Method

Annual audits of the enhanced care programme approach (CPA) were conducted from 2002 to 2005 to evaluate and improve the implementation of CPA in two inner-London community learning disability services. The CPA standards included those stipulated by the Department of Health. The notes of all patients on enhanced CPA were analysed using a structured data collection form.

Results

There was a gradual improvement in the attainment of targets by both services. Areas of strength included allocating a date for the next CPA review, crisis plans and documentation of service users' comments. Areas of weakness included completion and review of risk assessments and the availability of a care plan for the previous 6 months.

Clinical Implications

Completing the audit cycle and reauditing improves attainment of targets and encourages service development, but further progress is required.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (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.
References
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Bhaumik, S., Nadkarni, S. S., Biswas, A. B., et al (2005) Service innovations: risk assessment in learning disability. Psychiatric Bulletin, 29, 2831.
Borthwick-Duffy, S. A. (1994) Epidemiology and prevalence of psychopathology in people with mental retardation. Journal of Consulting and Psychology, 62, 1727.
Brooks, D., Spiller, M. J. & Bouras, N. (2005) Report on the South Thames Regional Audit of CPA and Risk Assessment/Management Implementation in Services for People with Learning Disabilities and Mental Health Problems. http://www.estiacentre.org/docs/CPA%20Audit.pdf
Department of Health (1990) The Care Programme Approach for People with a Mental Illness Referred to the Specialist Psychiatric Services (HC(90)23). London: Department of Health.
Department of Health (1999a) Effective Care Coordination in Mental Health Services. Modernising the Care Programme Approach. London: Department of Health.
Department of Health (1999b) A National Service Framework for Mental Health. Modern Standards and Service Models for Mental Health. London: Department of Health.
Department of Health (2001a) An Audit Pack for Monitoring the Care Programme Approach. London: Department of Health.
Department of Health (2001b) Valuing People: A New Strategy for People with Learning Disabilities for the 21st Century. London: Department of Health.
Roy, A. (2000) The Care Programme Approach in learning disability psychiatry. Advances in Psychiatric Treatment, 6, 380387.
Selby, G. & Alexander, R.T. (2004) Care Programme Approach in a forensic learning disability service. British Journal of Forensic Practice, 6, 2632.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Auditing the care programme approach for people with learning disability: a 4-year audit cycle

  • Afia Ali (a1), Ian Hall (a2), Claire Taylor (a3), Stephen Attard (a3) and Angela Hassiotis (a4)...
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