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Advances in Psychiatric Treatment (2005) 11: 325-329
© 2005 The Royal College of Psychiatrists

Care programme approach: relapsing or recovering?

REVISITING... MAKING CARE PROGRAMMING WORK

David Kingdon and Shabbir Amanullah

David Kingdon is Professor of Mental Health Care Delivery at the University of Southampton (Royal South Hants Hospital, Southampton SO14 0YG, UK. E-mail: dgk{at}soton.ac.uk) and an honorary consultant with Hampshire Partnership Trust. His research interests include psychosocial and healthcare interventions in severe mental illness. Shabbir Amanullah is a specialist registrar on the Wessex Higher Training Scheme. His interests are qualitative methods of research and medical education.

The care programme approach (CPA) has become an accepted part of clinical practice, despite the continuing lack of strong direct evidence of its value. Guidance from the Department of Health has refined the original requirements, which were to ensure health and social care assessment, discharge from hospital to appropriate accommodation with necessary support, appointment of a mental health professional to draw up a care plan, and coordination of its implementation with necessary follow-up. The CPA now specifies that care plans include provision, as necessary, for risk assessment and management, employment, leisure, accommodation and plans to meet carers’ needs. Levels of care have been simplified to ‘standard’ and ‘enhanced’. In future it will need to incorporate issues arising from the development of specialist teams as part of the National Health Service Plan, concern about the physical healthcare of those subject to it and the continuing development of psychosocial interventions.




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