Abstract
Aims and MethodThe aim of the study was to evaluate the effectiveness of the care programme approach (CPA) in adults with learning disabilities in a specialist treatment unit by auditing all in-patient records over a 6-month period. A multidisciplinary team set CPA standards. Staff on the unit completed questionnaires about patients, including CPA screening and risk assessment/management, and carers completed questionnaires about their perceptions of risk and information sharing.ResultsOf the 15 patients whose records were reviewed, 13 had CPA screening on admission and 12 on discharge. Before discharge, 9 patients had a CPA planning meeting and only 4 patients had a demonstrable risk management plan. Carers of 9 patients perceived that information was shared.Clinical ImplicationsMajor deficiencies identified in risk assessment and management and in information sharing may potentially jeopardise successful treatment and after-care.
Highlights
Major deficiencies identified in risk assessment and management and in information sharing may potentially jeopardise successful treatment and after-care
The specific objectives were to determine whether staff carried out risk assessment and care programme approach (CPA) screening; whether they recorded the clinical decision regarding risk; and whether they shared the information with the clinical team and relevant agencies
Sharing of risk management plans is documented on the CPA care plan, which is signed by carers and professionals
Summary
The aim of the study was to evaluate the effectiveness of the care programme approach (CPA) in adults with learning disabilities in a specialist treatment unit by auditing all in-patient records over a 6-month period. Staff on the unit completed questionnaires about patients, including CPA screening and risk assessment/management, and carers completed questionnaires about their perceptions of risk and information sharing
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