scholarly journals Auditing the care programme approach for people with learning disability: a 4-year audit cycle

2006 ◽  
Vol 30 (11) ◽  
pp. 415-418 ◽  
Author(s):  
Afia Ali ◽  
Ian Hall ◽  
Claire Taylor ◽  
Stephen Attard ◽  
Angela Hassiotis
Keyword(s):  
Learning Disability ◽  
Care Plan ◽  
Disability Services ◽  
Service Development ◽  
Care Programme ◽  
Gradual Improvement ◽  
Crisis Plans ◽  
Department Of Health ◽  
Audit Cycle ◽  
Collection Form

Aims and MethodAnnual audits of the enhanced care programme approach (CPA) were conducted from 2002 to 2005 to evaluate and improve the implementation of CPA in two inner-London community learning disability services. The CPA standards included those stipulated by the Department of Health. The notes of all patients on enhanced CPA were analysed using a structured data collection form.ResultsThere was a gradual improvement in the attainment of targets by both services. Areas of strength included allocating a date for the next CPA review, crisis plans and documentation of service users' comments. Areas of weakness included completion and review of risk assessments and the availability of a care plan for the previous 6 months.Clinical ImplicationsCompleting the audit cycle and reauditing improves attainment of targets and encourages service development, but further progress is required.

scholarly journals Care programme approach: relapsing or recovering?

2005 ◽  
Vol 11 (5) ◽  
pp. 325-329 ◽  
Author(s):  
David Kingdon ◽  
Shabbir Amanullah
Keyword(s):  
Psychosocial Interventions ◽  
Care Plan ◽  
Care Programme ◽  
Levels Of Care ◽  
Care Plans ◽  
Department Of Health ◽  
Care Assessment ◽  
Health And Social Care ◽  
Accepted Part ◽  
Discharge From Hospital

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.

scholarly journals Individualisation in crisis planning for people with psychotic disorders

2013 ◽  
Vol 23 (4) ◽  
pp. 353-359 ◽  
Author(s):  
S. Farrelly ◽  
G. Szmukler ◽  
C. Henderson ◽  
M. Birchwood ◽  
M. Marshall ◽  
...  
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Psychotic Disorders ◽  
Care Plan ◽  
Crisis Planning ◽  
Clinical Value ◽  
Care Programme ◽  
Crisis Plans ◽  
Crisis Plan ◽  
The Impact

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.

Payment by results for learning disability services: a model for the future?

2011 ◽  
Vol 17 (6) ◽  
pp. 470-475 ◽  
Author(s):  
Sabyasachi Bhaumik ◽  
John Devapriam ◽  
Satheesh Gangadharan ◽  
Avinash Hiremath ◽  
Ashok Roy
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Learning Disability ◽  
Disability Services ◽  
Department Of Health ◽  
The Future ◽  
Pilot Work

SummaryPayment by results (PbR) for mental health services is currently being piloted with the aim of arriving at a national tariff for mental health by 2013/2014. The Department of Health has also established two pilot sites to consider applicability of PbR for learning disability services. This article outlines the concept of PbR in learning disability services and describes the progress of the pilot work being undertaken in this area.

scholarly journals The Care Programme Approach in learning disability psychiatry

2000 ◽  
Vol 6 (5) ◽  
pp. 380-387 ◽  
Author(s):  
Ashok Roy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Learning Disability ◽  
Mental Health Problems ◽  
White Paper ◽  
Health Needs ◽  
Mental Health Needs ◽  
Care Programme ◽  
Department Of Health ◽  
Safe Care

For nearly three decades, closure of large psychiatric and learning disability hospitals has continued and more people with mental health needs remain in the community. With this continuing decrease in hospital provision, there has been an increased focus on the development of systems of safe care and effective treatment for people with significant mental health problems living in the community. Attempts to make this a central plank of mental health care have been reflected in legislation and guidance produced by the Department of Health. The Care Programme Approach (CPA) was introduced in 1991 after the publication of HC (90) 23/LASSL (90) 11 and subsequent guidance from the White Paper Caring for People (Department of Health, 1990).

Systemic working in learning disability services: a UK wide survey

2009 ◽  
Vol 37 (3) ◽  
pp. 213-220 ◽  
Author(s):  
Gurpreet Kaur ◽  
Katrina Scior ◽  
Suzanne Wilson
Keyword(s):  
Learning Disability ◽  
Disability Services

scholarly journals Commentary on “Who’s Challenging Who?: a co-produced approach for training staff in learning disability services about challenging behaviour”

2019 ◽  
Vol 24 (4) ◽  
pp. 200-203
Author(s):  
Mark Andrew Haydon-Laurelut ◽  
Karl Nunkoosing
Keyword(s):  
Learning Disability ◽  
Design Methodology ◽  
Psychological Research ◽  
Disability Services ◽  
Challenging Behaviour ◽  
Social Psychological ◽  
Content Type ◽  
Systemic Practice ◽  
Social Psychological Research

Purpose The purpose of this paper is to provide a commentary on the article by Flynn et al. Design/methodology/approach In this commentary, the authors will develop some further thoughts about the importance of empathy, its relational nature and place in practice. The authors use some examples from systemic practice to illustrate. Findings Social psychological research underlines the importance of empathy in practice. Systemic practice and other collaborative approaches that ask about the experiences and abilities of people with a learning disability and their networks can support new possibilities as network members are listened to, included and respected. Originality/value The relational nature of empathy and its connection with practice is explored in this paper.

scholarly journals Service provision in Scotland for people with an intellectual disability who have, or are at risk of developing, dementia

Dementia ◽  
2018 ◽  
Vol 19 (3) ◽  
pp. 736-749 ◽  
Author(s):  
Karen McKenzie ◽  
Dale Metcalfe ◽  
Amanda Michie ◽  
George Murray
Keyword(s):  
At Risk ◽  
Intellectual Disability ◽  
Learning Disability ◽  
Service Provision ◽  
Disability Services ◽  
Health Board ◽  
Common Elements ◽  
Online Questionnaire ◽  
Community Learning ◽  
Direct Assessment

This research aimed to identify current national provision by health services in Scotland in relation to proactive screening and reactive assessment for people with an intellectual disability in Scotland who have, or are at risk of developing, dementia. Staff from 12 intellectual disability services, representing the 11 health board areas in Scotland, completed an online questionnaire which asked about proactive screening and reactive assessment for people with intellectual disability who had, or were at risk of developing, dementia as well as suggested areas for improvement. All of the areas provided services for people with intellectual disability who have, or are at risk of developing, dementia, but differed as to whether this was reactive, proactive or both. Nine services offered intervention following diagnosis. The most common elements used across both proactive screening and reactive assessment were conducting a health check, using a general dementia questionnaire designed for people with an intellectual disability and direct assessment with the person. Clinical psychology and community learning disability nurses were the professions most likely to be involved routinely in both proactive screening and reactive assessments. The psychometric properties of the most commonly used assessments of cognitive and behavioural functioning were mixed. The areas of improvement suggested by practitioners mainly related to ways of improving existing pathways. This research represents the first step in providing an overview of service provision in Scotland. There was some inconsistency in relation to the general and specific components which were involved in proactive screening and reactive assessment. Implications for service provision are discussed.

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