Skip to main content
×
×
Home

Implementation of the Care Programme Approach in prison

  • Natalie M Pyszora (a1) and Julia Telfer (a2)
Abstract
Aims and Method

Recent government legislation has highlighted the importance of implementation of the Care Programme Approach (CPA) within prisons, as part of the expectation that prisoners receive equivalent standards of healthcare to those provided by the National Health Service. To effectively plan the service provision at HMP Belmarsh, we retrospectively established the number of prisoners in a one-year period who would have fulfilled the criteria for enhanced CPA.

Results

Of the 91 prisoners found to fulfil the criteria for enhanced CPA, the majority (77%) had a diagnosis of schizophrenia, schizoaffective or delusional disorder, and 58% required transfer to a psychiatric hospital. Of those who required hospital treatment, 75% needed conditions of high- or medium-security.

Clinical Implications

Successful implementation of the CPA for all prisoners who meet enhanced CPA criteria is likely to have significant resource implications, both for mental health teams working within prisons and local psychiatric services.

  • 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.

      Implementation of the Care Programme Approach in prison
      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.

      Implementation of the Care Programme Approach in prison
      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.

      Implementation of the Care Programme Approach in prison
      Available formats
      ×
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
Hide All
Birmingham, L., Mason, D. & Grubin, D. (1996) Prevalence of mental disorder in remand prisoners: consecutive case study. BMJ, 313, 15211524.
Birmingham, L., Mason, D. & Grubin, D. (1997) Health screening at first reception into prison. Journal of Forensic Psychiatry, 8, 435439.
Brooke, D., Taylor, C., Gunn, J., et al (1996) Point prevalence of mental disorder in unconvicted male prisoners in England and Wales. BMJ, 313, 15241527.
Burns, T. (1997) Case management, care management and care programming. British Journal of Psychiatry, 170, 393395.
Burns, T., Fioritti, A., Holloway, F., et al (2001) Case management and Assertive Community Treatment in Europe. Psychiatric Services, 52, 631636.
Department of Health (1999) Effective Care Co-ordination in Mental Health Services. London: Department of Health.
Grounds, A. (2000) The future of prison health care. Journal of Forensic Psychiatry, 11, 260267.
Gunn, J., Maden, A. & Swinton, M. (1991) Treatment needs of prisoners with psychiatric disorders. BMJ, 303, 338341.
HM Prison Service/NHS Executive (1999) The Future Organisation of Prison Healthcare. London: Home Office.
Singleton, N., Meltzer, H., Gatward, R., et al (1998) Psychiatric morbidity among prisoners in England and Wales. London: HMSO.
South London and Maudsley NHS Trust (2000) Towards Integrated Care Programme Approach and Care Management. London: South London and Maudsley NHS Trust.
Telfer, J. (2000) Balancing care and control: introducing the Care Programme Approach in a prison setting. Mental Health Care, 41, 9396.
Vaughan, G. & Done, D. (2000) Recent research relevant to discharge planning from medium secure psychiatric units: re-examining the literature. Journal of Forensic Psychiatry, 11, 372389.
Recommend this journal

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

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 4
Total number of PDF views: 15 *
Loading metrics...

Abstract views

Total abstract views: 104 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 17th July 2018. This data will be updated every 24 hours.

Implementation of the Care Programme Approach in prison

  • Natalie M Pyszora (a1) and Julia Telfer (a2)
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? *