The CAPA Basics Ann York & Steve Kingsbury 2010
The CAPA Basics
Ann York & Steve Kingsbury2010
What is CAPA?
…the Choice and Partnership Approach
a clinical system that evolved in Richmond CAMHS from 2000
developed and implemented wholesale in East Herts. CAMHS 2005 and
now being used in many CAMH teams across the world
CAPA workshops
What CAPA is…and isn’t…
It is about Doing the right things = on the right goals With the right people = with the right skills At the right time = with no waits
By applying the majority of the 7 HELPFUL Habits
CAPA Myths p19
There are lots of myths!The Mental Health Foundation report these…
Choice means they can choose anything (p33) Partnership is limited to 6 - 7 sessions (p37, 41,
53) or 3 (p 53) Only allowed one Choice appt and for 1 hour (p38) Choice does no assessment (p38) Complex cases don’t fit into CAPA (p 49) Not allowed to do specialist work (p 49) Job plans are inflexible (p 50) No long term work (p54)
Values of CAPA
Users are at the heart of the process
“Led by them and guided by us”
Shift in clinician stance to Facilitator with expertise rather than
expert with power
CAPA Links (NZ)
CAPA Links
The CAPA system…
There are 4 ideas that separate CAPA CAMHS from more “traditional” models. These are...
1. Choice
2. Core and Specific work
3. Selecting clinician to Partnership
4. Team Job Planning
The 4 Big Ideas p 27-31
Why do CAPA? p 16
GainsUsers: Reduced waits Increased engagement Collaborative & respectfulTeams Learning culture Togetherness Transparent Its Fair!Managers Flexible workforce Defines capacity
Why does CAPA work?
It is our experience that CAPA seems to enable CAMH teams to deal with their current workload in what seems a much more efficient and effective way
Uses the ELF of the 7 HELPFUL Habits of Effective CAMHS
1. Team organisation Extend Capacity Capacity planning Core and Specialist work
2. Task Alliance Let Go of Families Focus on patient goals Family ownership of change Therapeutic alliance
3. Demand and Capacity Flow Management Flow management
Why would you NOT do CAPA? p 17
Can’t think of a reason! Challenges... Transparency Monitoring and activity targets Accepting limits Working in focus Requires flexibility Anxiety about perceived reduction in professional
power Being more human in “flatter” relationships