The Care Programme Approach (CPA)

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Introduction

This essay will critically analyse Care Programme Approach (CPA) assessment and care plan in an OSCE I undertook. By utilising the CPA and sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

Assessment is about collecting information on a person’s needs and circumstances, and making sense of that information in order to identify needs and decide on what support or treatment to offer (DOH, 2002). There are many tools for assessing mental health needs of patients with depression. Beck Depression Inventory (BDI) (Beck et. al, 1961; 1988), Beck Anxiety Inventory (Beck et al, 1993) and Zung Self-Rating Depression Scale (ZSDS)(1965) among others. These tools tell me how someone is feeling. This information is important for the CPA.

Critical Analysis

The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...

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...th ed, Philadelphia: Lippincott William & Wilkins.

Shultz, J.M. & Videbeck, S.L. (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.

Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.

Tamparo, C.D. & Lindh, W.Q. (2008). Therapeutic communications for health care. Albany, NY:

The Care Programme Approach Association, (2006) National Standards and CPA Association Audit Tool for the Monitoring of the Care Programme Approach. Chesterfield: CPAA

Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.

Zung, W. W. K., (1965). A self-rating depression scale. Arch. Gen. Psychiatry. 12:63-70.[Duke Univ. Med. Ctr., Dept. Psychiatry, Durham, NC]

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