User:GOGHVAN195/Care Programme Approach

Article body
Original:

History and impact
In 1999 the approach was simplified to standard and enhanced levels, the term key worker was changed to care coordinator, and there was an emphasis on risk management, employment and leisure, and the needs of the carer.

There is some criticism that the approach has changed the role of staff away from implementing clinical interventions into administrative tasks, that the policy is carried out inconsistently, and has not been well aligned to clinical models of case management. Formal review on the impact and effectiveness of this initiative has been difficult because of the variation of clinical interventions given under a CPA model.

Altered:

History and impact
In 1999 the approach was simplified to standard and enhanced levels, the term key worker was changed to care coordinator, and there was an emphasis on risk management, employment and leisure, and the needs of the carer.

There is some criticism that the approach has changed the role of staff away from implementing clinical interventions into administrative tasks, that the policy is carried out inconsistently, and has not been well aligned to clinical models of case management. Formal review on the impact and effectiveness of this initiative has been difficult because of the variation of clinical interventions given under a CPA model.

CPA in a prison setting
A research paper by M. Giorgiou and J. Jethwa discusses the purpose of the CPA model and discusses key themes in its benefits and shortcomings, in order to provide a more organized framework for care of inmates in a prison setting. The key themes are listed below.

Objectives of CPA

 * Interagency collaboration
 * Catering to the complex needs of the patient
 * Ongoing care (upon release from prison)
 * Patient involvement in CPA, centered around them

Challenges faced when implementing CPA

 * Responsibilities are not clear
 * Geographically deprived for program outreach
 * Patient has little or no awareness of CPA
 * Lack of understanding CPA process
 * Prison capacity to implement program (e.g., too many cases, not enough resources, patient dropout from CPA)