Care programme approach: Evaluation of its implementation in an inner London service

Wolfe, Jennie; Gournay, Kevin; Norman, Susan; Ramnoruth, D.

doi:10.1016/s1361-9004(06)80008-7

Cited by 9 publications

(12 citation statements)

References 15 publications

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“…Meanwhile, at the micro level of delivery, McDermott (1998) surveyed 103 mental health service users with severe problems and found that they felt they were not sufficiently consulted in care planning under the care programme approach. Other studies have found similar patterns of perceived lack of involvement (see for example Beeforth et al . 1990, Wolfe et al .…”

Section: Introductionsupporting

confidence: 67%

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Mental health service user involvement in England: lessons from history

Rush

2004

Psychiatric Ment Health Nurs

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This historical analysis draws attention to differing assumptions, which promote or limit user involvement in nursing practice. The meaning of the term 'user involvement' is analyzed with reference to varying models. A continuum is offered to illustrate the relationship between assumptions about people with mental health problems and their involvement in care. It is argued that the range of views concerning recipients of mental health services, from being dangerous and irrational to being considered equal partners with health professionals, creates an unresolved tension that has existed through the ages. The key to resolving this tension is for all parties openly to acknowledge conflicts between their views and those of others and engage in meaningful dialogue about them. In this way the lessons from history may be learned.

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Section: Introductionsupporting

confidence: 67%

“…Other studies have found similar patterns of perceived lack of involvement (see for example Beeforth et al . 1990, Wolfe et al . 1997.…”

Section: Introductionmentioning

confidence: 99%

Mental health service user involvement in England: lessons from history

Rush

2004

Psychiatric Ment Health Nurs

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“…The team's relationship with the CPN was delimited, suggesting perhaps the nature of the fracture with community services which has developed (Lelliot et al 1995, Sammut 1997). With the introduction of the Care Programme Approach (Wolfe et al 1997), the need to organize supportive conditions for the patient following discharge was established by legislation. It was unsurprising, therefore, to find that CPNs were involved in this planning.…”

Section: Discussionmentioning

confidence: 99%

Nurses' perceptions of multidisciplinary teamwork in acute psychiatric settings

Barker

Walker

2000

Psychiatric Ment Health Nurs

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The findings of a pilot telephone survey of senior nurses' views of multidisciplinary teamwork (MDT) practice in 26 acute psychiatric admission wards within the ambit of one English health authority are reported. The survey was conducted in two stages. The first stage focused on obtaining the senior nurse's general perceptions of the organization of the work of the multidisciplinary team, and in the second stage more detailed responses to the original questions were obtained. The findings suggest that the composition and operations of the acute ward team are limited, and the relationship between the MDT and patients and their families do not entirely support the concept of increased collaboration with patients and their families. The findings are discussed within the context of the perceived crisis in acute psychiatric care in England and the ambitions for more egalitarian 'mental health' services.

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“…The CPA remains a cornerstone of the government's mental health policy and compliance with this process is regularly assessed through audits. However, these tend to focus on the presence or absence of the overall care plan, attendees at the meetings where the contents are discussed, and other process issues (Wolfe et al 1997; Schneider et al 1999). We found no published investigations of the quality of crisis planning in routine care.…”

Section: Introductionmentioning

confidence: 99%

Individualisation in crisis planning for people with psychotic disorders

Farrelly

Szmukler

Henderson

et al. 2013

Epidemiol Psychiatr Sci

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Background. In England, people with a serious mental illness are offered a standardized care plan under the Care Programme Approach (CPA). A crisis plan is a mandatory part of this standard; however, the quality and in particular the level of individualisation of these crisis plans are unknown. In this context, the aim of this study was to assess the quality of crisis planning and the impact of exposure to a specialized crisis planning intervention. Method. The crisis plans of 424 participants were assessed, before and after exposure to the Joint Crisis Plan (JCP) intervention, for 'individualisation' (i.e., at least one item of specific and identifiable information about an individual). Associations of individualisation were investigated. Results. A total of 15% of crisis plans were individualised at baseline. There was little or no improvement following exposure to the JCP. Individualised crisis plans were not associated with a history of prior crises or incidences of harm to self and others. Conclusions. Routine crisis planning for individuals with serious mental illness is not influenced by clinical risk profiles. 'Top down' implementation of the policy is unlikely to generate the best practice and compliance if clinicians do not perceive the clinical value in the process.

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Care programme approach: Evaluation of its implementation in an inner London service

Cited by 9 publications

References 15 publications

Mental health service user involvement in England: lessons from history

Mental health service user involvement in England: lessons from history

Nurses' perceptions of multidisciplinary teamwork in acute psychiatric settings

Individualisation in crisis planning for people with psychotic disorders

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