Care programme approach – time to move beyond?

BJ Psych Bulletin

article

David Kingdon¹ 

[1] University of Southampton

关键词: Community mental health teams;    outcome studies;    risk assessment;    service use;    economics.;   

DOI  :  10.1192/bjb.2018.73

学科分类：工程和技术（综合）

来源: Cambridge University Press

【 摘 要 】

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.

【 授权许可】

CC BY