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User involvement in care planning: The Care Programme Approach (CPA) from the users' perspective

  • Mike Lawson (a1), Chrissie Strickland (a2) and Paul Wolfson (a1)
Abstract
Aims and method

To assess the extent of user involvement in care planning, from the users' perspective. Fifty Care Programme Approach (CPA) meetings across five consultant teams were included using quota sampling. Data concerning user involvement was collected by direct observation, semi-structured interviews with users and keyworkers and a review of CPA documentation.

Results

User involvement in needs assessment and decision-making was poor, as was knowledge of care planning and information provision to users.

Clinical implications

Limited resources and conflict resulting from the more containing aspects of the CPA remain obstacles for user involvement. Possible improvements include user led needs assessment, information pack provision and limiting attendance at CPA meetings.

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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.
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References
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Avon Mental Health Measure Working Group (1996) The Avon Mental Health Measure: A User-Centred Approach of Assessing Need. Bristol: Bristol Social Services.
Carson, J. & Sharma, T. (1994) In-patient psychiatric care: What helps? Staff and patient perspectives. Journal of Mental Health (UK), 3, 99 104.
Department of Health (1990) The Care Programme Approach for People with a Mental Illness Referred to Specialist Psychiatric Services. London: HMSO.
Guy, W. (1976) ECDEU Assessment Manual for Psychopharmacology. Revised DHEW pub. no. (ADM) 78–388. Rockville, MD: National Institute of Mental Health.
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World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems. Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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User involvement in care planning: The Care Programme Approach (CPA) from the users' perspective

  • Mike Lawson (a1), Chrissie Strickland (a2) and Paul Wolfson (a1)
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