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The Care Programme Approach: comment on ‘Time for frank talking’

  • David Kingdon (a1)
Extract

After seven years of circulars, monitoring, conferences and discussion, frank talking about the CPA may still be welcome, but proposals to CPA coordinators and members of community mental health teams (CMHTs) to revise the procedures implemented by trusts are less likely to be. The previous paper (Burns & Leibowitz) identified a number of difficulties that have accompanied the implementation of the Care Programme Approach, particularly confusion related to care and case management. The CPA was introduced in response to the Spokes Inquiry (Spokes, 1988) as a therapeutic strategy to ensure that a coordinated safety-net of care for people with severe mental illness (SMI) was put in place in every district. Identification of those with SMI means that the approach includes all those accepted by mental health services; those with SMI need a coordinated multidisciplinary response. The CPA Audit Tool developed by the College Research Unit for the National Health Service Executive (NHSE) and disseminated to all districts in 1995/96 may be valuable in reassessing CPA implementation.

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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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Boughton, M. & Duvall, P. (1994) Care programme approach: the experience in Bath. Psychiatric Bulletin, 18, 7779.
Department of Health Social Services Inspectorate (1992) Care Management and Assessment: Practice Guidance: Managers Guide. London: HMSO.
McCarthy, A., Roy, D., Holloway, F., et al (1995) Supervision registers and the care programme approach: a practical solution. Psychiatric Bulletin, 19, 195199.
Schneider, J., Hayes, L., Beecham, J., et al (1993) Care Programming in Mental Health: a Study of Implementation and Costs in Three Health Districts. Discussion paper 922/2, Personal Social Services Research Unit, University of Kent at Canterbury.
Social & Community Planning Research (1993) Factors Influencing the Implementation of the Care Programme Approach. London: HMSO.
Spokes, J. (1988) Report of the Committee of Inquiry into the Care and Aftercare of Miss Sharon Campbell. London: HMSO.
Tyrer, P., Morgan, J., Van Horn, E., et al (1995) A randomised control study of close monitoring of vulnerable psychiatric patients. Lancet, 345, 756759.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The Care Programme Approach: comment on ‘Time for frank talking’

  • David Kingdon (a1)
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