scholarly journals Care programme approach

1994 ◽  
Vol 18 (2) ◽  
pp. 68-70 ◽  
Author(s):  
David Kingdon
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Services ◽  
Interprofessional Collaboration ◽  
Essential Elements ◽  
Care Plan ◽  
Care Programme ◽  
Care Plans ◽  
Regular Review ◽  
Key Worker

The care programme approach has been introduced to improve the delivery of services to people with severe mental illness and minimise the risk that they lose contact with mental health services. Its essential elements are assessment of health and social need, a written care plan, nomination of a key worker, and regular review. It requires interprofessional collaboration and negotiation of care plans with users and carers but individual patients vary in their needs for multidisciplinary involvement and review.

Do our current approaches to care planning and the CPA enhance the experience and outcomes of a person's recovery?

2014 ◽  
Vol 9 (1) ◽  
pp. 26-34 ◽  
Author(s):  
Miles Rinaldi ◽  
Flippa Watkeys
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Planning Process ◽  
Action Plan ◽  
Care Plan ◽  
Care Planning ◽  
Care Programme ◽  
Content Type ◽  
Care Plans

Purpose – Increasingly mental health services are attempting to become recovery focused which demands changing the nature of day-to-day interactions and the quality of the experience in services. Care planning is the daily work of mental health services and within this context, care planning that enhances both the experience and the outcomes of a person's recovery is a key element for effective services. However, care plans, the care planning process and the Care Programme Approach (CPA) continue to pose a challenge for services. The purpose of this paper is to discuss these issues. Design/methodology/approach – Conceptual paper. Findings – Within recovery focused services a care plan becomes the driving force, or action plan, behind a person's recovery journey and is focused on their individual needs, strengths, aspirations and personal goals. If involving people directly in the development of their care plan is critical to creating better outcomes then supporting self-management, shared decision making and coproduction all underpin the care planning process. Based on the evidence of people's experience of care plans and the care planning process it is time to seriously debate our current conceptualisation and approach to care planning and the future of the CPA. Originality/value – The paper describes aspects of the current situation with regard to the effectiveness of care planning in supporting a person's recovery. The paper raises some important questions.

scholarly journals The Care Programme Approach: time for frank talking

1997 ◽  
Vol 21 (7) ◽  
pp. 426-429 ◽  
Author(s):  
Tom Burns ◽  
Judy Leibowitz
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Mental Health Policy ◽  
Care Plan ◽  
Care Programme ◽  
Interprofessional Communication ◽  
Therapeutic Goals ◽  
Severely Mentally Ill ◽  
Approach Time ◽  
Key Worker

The Care Programme Approach (CPA) was introduced as a cornerstone of the Government's mental health policy in 1992 (Kingdon, 1994). It was meant to clarify the complex issues surrounding the coordination of care for the severely mentally ill and to promote interprofessional communication and effective targeting of resources by community mental health teams (CMHTs). The Ritchie report into the care of Christopher Clunis (Ritchie, 1994) underlined the need for clarity about who has overall responsibility for coordination and review of the progress of care – the key worker. The report makes a compelling case for a clearly documented care plan with identified problems, therapeutic goals and an unambiguous statement of who is responsible for what and when. How, then, could this virtuous proposal generate conflict and bad feeling? And why is there relatively little debate about it in the professional press?

scholarly journals Using the Health of the Nation Outcome Scales in clinical practice

1999 ◽  
Vol 23 (9) ◽  
pp. 536-538 ◽  
Author(s):  
Michael James ◽  
Robert Kehoe
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Outcome Measure ◽  
Psychiatric Service ◽  
District General Hospital ◽  
Clinical Implications ◽  
Care Programme ◽  
Care Plans ◽  
Actual Change ◽  
One Year

Aims and methodTo describe the implementation of a plan to use a validated outcome measure in the care and treatment of people with severe mental illness within a district general hospital psychiatric service. Multiple techniques were necessary to promote actual change of practice.ResultsA survey of practice found 77% of full Care Programme Approach patients to have recorded Health of the Nation Outcome Scales (HoNOS) scores in their care plans one year after the beginning of the implementation plan.Clinical implicationsIt is possible to incorporate the use of HoNOS in to everyday practice but it takes a lot of time, effort and resources. Mental health services may require a clearer indication from the NHS Executive regarding the use of such outcome scales before committing themselves.

The Current Situation in Psychiatry and its Effects on the Delivery of Mental Health Services in the Next Decade

1971 ◽  
Vol 2 (2) ◽  
pp. 138-145 ◽  
Author(s):  
William J. Horvath
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioral Treatment ◽  
Additional Data ◽  
Current Knowledge ◽  
Medical Model ◽  
Behavioral Disorder ◽  
Treatment Alternative

As long as mental illness is regarded as primarily a behavioral disorder, current and foreseeable manpower shortages in psychiatry make it necessary to increase the participation of nonmedical personnel in the treatment process. The controversy between those advocating behavioral treatment and those favoring the medical model cannot be resolved due to the fact that our current knowledge of the biologic roots of mental illness is inadequate. A breakthrough in research in this area could resolve the argument and solve the manpower problem by transferring psychiatric disorders into physiologic disease susceptible to medical treatment. Alternative models for the delivery of mental health services can be developed to allow for different possibilities in the outcome of research. Additional data is needed, especially on the costs and effectiveness of future therapies, before an evaluation of programs can be carried out.

scholarly journals Mental Illness Inequalities by Multimorbidity, Use of Health Resources and Socio-Economic Status in an Aging Society

2021 ◽  
Vol 18 (2) ◽  
pp. 458
Author(s):  
Manuel García-Goñi ◽  
Alexandrina P. Stoyanova ◽  
Roberto Nuño-Solinís
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Services ◽  
Health Systems ◽  
Access To Health Care ◽  
Population Aging ◽  
Basque Country ◽  
International Comparisons ◽  
Health Resources ◽  
The Poor

Background: Mental illness, multi-morbidity, and socio-economic inequalities are some of the main challenges for the public health system nowadays, and are further aggravated by the process of population aging. Therefore, it is widely accepted that health systems need to focus their strategies for confronting such concerns. With guaranteed access to health care services under universal coverage in many health systems, it is expected that all services be provided equally to patients with the same level of need. Methods: In this paper, we explore the existence of inequalities in the access to services of patients with mental illness taking into account whether they are multimorbid patients, their socioeconomic status, and their age. We take advantage of a one-year (2010–2011) database on individual healthcare utilization and expenditures for the total population (N = 2,262,698) of the Basque Country. Results: More comorbidity leads to greater inequality in prevalence, being the poor sicker, although with age, this inequality decreases. All health services are more oriented towards greater utilization of the poor and sicker, particularly in the case of visits to specialists and emergency care. Conclusions: Mental health inequalities in prevalence have been identified as being disproportionally concentrated in the least affluent areas of the Basque Country. However, inequalities in the utilization of publicly-provided health services present a pro-poor orientation. As this region has adopted a system-wide transformation towards integrated care, its mental health delivery model offers excellent potential for international comparisons and benchlearning.

scholarly journals Access to public mental health services among older adults with severe mental illness

2009 ◽  
Vol 24 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Todd P. Gilmer ◽  
Victoria D. Ojeda ◽  
Dahlia Fuentes ◽  
Viviana Criado ◽  
Piedad Garcia
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Public Mental Health ◽  
Public Mental Health Services
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