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Sunday, 30 October 2011

Community care assessments and plans

If you have been treated by outpatient psychiatric services or a community mental health team, you may be offered a Care Programme Approach (CPA) assessment.

Care Programme Approach (CPA) assessment

CPA is a way of co-ordinating community health services for people with mental health problems. It means that once you have an assessment detailing your needs, one person will be able to co-ordinate all aspects of your care. For example, this could be your medical and social care and community services available to you. This assessment will be carried out by a care co-ordinator. Care co-ordinators are also sometimes called keyworkers or case managers.

Your assessment may include:

  • your personal history, including any previous treatments that have worked for you
  • your social history, including family details, your income, whether you are employed
  • the symptoms of your illness
  • how long the doctor thinks you will need treatment, particularly if it is likely to be long-term
  • what your needs may be - both health and social

The care plan

The care co-ordinator doing the assessment will write up a care plan that you then sign if you agree with it. You can discuss any changes you would like to make.

The written plan will include:

  • the name of a care co-ordinator; this person will co-ordinate the different elements of your care
  • details of where you can get help 24 hours a day, 365 days a year
  • what you, your carer or care co-ordinator should do if your mental health deteriorates rapidly
  • arrangements that have been made if your care co-ordinator is unavailable or part of the care plan cannot be carried out at short notice
  • arrangements for regular reviews with your care co-ordinator

Your care plan will tell you:

  • the name of someone you can contact if you need anything
  • which of the services offered by the community mental health team you can use
  • who you should see

If you are being discharged from hospital you may have a 'discharge planning meeting'. This is when a CPA assessment and a community care assessment will be carried out at the same time covering both health and social care.

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