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