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Care programme approach - time to move beyond?

Care programme approach - time to move beyond?
Care programme approach - time to move beyond?

The Care Programme Approach (CPA) has been instrumental in embedding principles of holistic collaborative assessment and management into mental health care. Initially, its implementation was assisted by targeting those at greatest need. However dichotomising patients into more and less severe is now considered unhelpful and has been demonstrated to be unreliable. Division of patients into severe and not severe categories is no more logical than such a division of patients with physical health problems. CPA principles are now applied to all patients in mental health services and practice needs to move to individualised care, focusing on meeting quality standards and achieving positive outcomes. A system based on evidence-based clinical pathways and reliable measures of severity and need should replace the current approach.

Community mental health teams, economics, outcome studies, risk assessment, service use
2056-4694
101-103
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b

Kingdon, David (2019) Care programme approach - time to move beyond? BJPsych Bulletin, 43 (3), 101-103. (doi:10.1192/bjb.2018.73).

Record type: Review

Abstract

The Care Programme Approach (CPA) has been instrumental in embedding principles of holistic collaborative assessment and management into mental health care. Initially, its implementation was assisted by targeting those at greatest need. However dichotomising patients into more and less severe is now considered unhelpful and has been demonstrated to be unreliable. Division of patients into severe and not severe categories is no more logical than such a division of patients with physical health problems. CPA principles are now applied to all patients in mental health services and practice needs to move to individualised care, focusing on meeting quality standards and achieving positive outcomes. A system based on evidence-based clinical pathways and reliable measures of severity and need should replace the current approach.

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Accepted/In Press date: 1 January 2018
e-pub ahead of print date: 24 September 2018
Published date: 1 June 2019
Keywords: Community mental health teams, economics, outcome studies, risk assessment, service use

Identifiers

Local EPrints ID: 431124
URI: http://eprints.soton.ac.uk/id/eprint/431124
ISSN: 2056-4694
PURE UUID: e2d9530b-f447-4ed1-addc-327cf5ef1c26

Catalogue record

Date deposited: 24 May 2019 16:30
Last modified: 07 Oct 2020 00:24

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