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The CAPA Basics

The CAPA Basics. Ann York & Steve Kingsbury 2010. 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.

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The CAPA Basics

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  1. The CAPA Basics Ann York & Steve Kingsbury 2010

  2. 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

  3. CAPA workshops

  4. 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

  5. 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)

  6. 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

  7. CAPA Links (NZ)

  8. CAPA Links

  9. The CAPA system…

  10. The 4 Big Ideas p 27-31 There are 4 ideas that separate CAPA CAMHS from more “traditional” models. These are... • Choice • Core and Specific work • Selecting clinician to Partnership • Team Job Planning

  11. Why do CAPA? p 16 Gains Users: • Reduced waits • Increased engagement • Collaborative & respectful Teams • Learning culture • Togetherness • Transparent • Its Fair! Managers • Flexible workforce • Defines capacity

  12. 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 • Team organisationExtend Capacity • Capacity planning • Core and Specialist work • Task AllianceLet Go of Families • Focus on patient goals • Family ownership of change • Therapeutic alliance • Demand and CapacityFlow Management • Flow management

  13. 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

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