Journal Article

The Care Programme Approach: Dimensions of Evaluation

ANGELA DOWNING and BARBARA HATFIELD

in The British Journal of Social Work

Published on behalf of British Association of Social Workers

Volume 29, issue 6, pages 841-860
Published in print December 1999 | ISSN: 0045-3102
Published online December 1999 | e-ISSN: 1468-263X | DOI: https://dx.doi.org/10.1093/bjsw/29.6.841
The Care Programme Approach: Dimensions of Evaluation

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The study examined the first six months of implementation of the Care Programme Approach (the CPA) at a psychiatric unit of a district general hospital. From an analysis of the research literature on case management, and from current policy, a framework was developed which was used to analyse the implementation under study. The framework included such features as: a keyworker offering a continuous relationship and co-ordinated care; assessment and intervention over a range of ‘needs’; multidisciplinary working in the community; and involvement of user and carer. The objectives were to ensure continuity of care and reduce hospital admission. The targeted service users were to be those with severe and enduring mental health problems. The study shows that most of these features were achieved in the implementation, although there is no evidence that hospital admission was avoided. A number of factors were found to be associated with re-admission, and these are discussed in the light of the findings of other studies.

Journal Article.  0 words. 

Subjects: Social Work

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