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User involvement in care planning

The Care Programme Approach (CPA) from the users' perspective

Published online by Cambridge University Press:  02 January 2018

Mike Lawson
Oxleas NHS Trust Bexley Hospital, Kent DA5 2BW
Chrissie Strickland
Bexley, Kent
Paul Wolfson*
Oxleas NHS Trust Bexley Hospital, Kent DA5 2BW
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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.


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.

Original Papers
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright © 1999 The Royal College of Psychiatrists


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