The implementation of the Care Programme Approach for service users with a learning disability. Building Bridges to the same Old Horizons?

This study aimed to explore the factors shaping the recent implementation of the CPA for service users with a dual diagnosis. MethodA single case study approach was undertaken. Data were collected through interview (n=26), documentary analysis (n=64), steering group observation (n=3) and the Partnership Assessment Tool (n=26). Data were analyzed using the Framework Approach. ResultsThe CPA was only effectively implemented for people who were deemed to present with a high level of risk. DiscussionThe problems associated with implementation in the 1990s continue more recently for those with a dual diagnosis. The CPA has become more aligned with risk management protocols than supporting individual service user's recovery. Implications for practiceService users should be involved in the implementation of policies which have an impact on their recovery. The CPA should only be applied for those who present with high risk issues, whilst alternative user‐led initiatives should be considered for other service users.This article is protected by copyright. All rights reserved.
Source: Journal of Psychiatric and Mental Health Nursing - Category: Nursing Authors: Tags: Original Article Source Type: research