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Psychiatric Home Care
 
A service whereby Psychiatric Patient and a discharged Mental/Physical patient is provided observation and care in his or her place of residence. Many state laws require that the client be homebound...
 
The Care Programme Approach (CPA)

Care Programme Approach (widely known as CPA) was the main way of assessing and identifying the care needs of people with a mental illness receiving secondary mental health services.

The main elements of CPA in (Lahore Pakistan):

• an assessment of a person's health and social care needs
• a written care plan agreed with all those involved in the delivery of a person's care including the Community Mental Health Team, GP and carer
• nomination of a Care Coordinator to act as the main point of contact, coordinating the delivery of a person's care
• monitoring and review of a person's care plan, and health and social care needs.

The Mental Elements:

These main elements of CPA also feature of the Mental Health Measure and, where CPA was implemented well, there will be clear similarities. Unfortunately best practice CPA was never consistently implemented and that is why Hafal campaigned long and hard for a completely new mental health law in Wales to improve care and treatment planning for those receiving secondary mental health services.

Care and Treatment Planning of the Mental Health Measure

Local Health Boards and Local Authorities have a joint duty to implement , and people who receive secondary mental health services have two important new rights:

• the right to have a Care Coordinator appointed to work with them to coordinate their care and treatment, and
• the right to an individual and comprehensive Care and Treatment Plan to assist their recovery.

The Measure is accompanied by a comprehensive Code of Practice which sets out what these rights should mean in practice. In summary it should mean:

• holistic assessment to establish information from which care and treatment planning, and future work, can take place

• allocation of a Care Coordinator who will be a mental health professional with appropriate skills and qualifications (such as a social worker, mental health nurse, occupational therapist, psychologist or doctor) and who will be responsible for working with a person to agree a written Care and Treatment Plan


• A Care and Treatment Plan which will consider at least eight areas of a person's life:
- finance and money
- accommodation
- personal care and physical well-being
- education and training
- work and occupation
- parenting or caring relationships
- social, cultural or spiritual
- medical and other forms of treatment including psychological interventions

• monitoring and review with a Care Coordinator having ongoing responsibility for monitoring the implementation of the Plan and a duty to have a formal review at least once a year.