The 10 Key Components of CAPA

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CAPA in CAMHS
The 10 Components
Myths
CAPA themes
Aims
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CAPA works for...
What capa isn't
Who am I help...
Why CAPA works
A Clinical Pathway

 

These are the 10 components. However we realise that there is a pre-requisite which is that:

a) there is a clear working relationship between management and clinicians over CAPA and

b) there is either a clinical leader or a clinician empowered to lead on CAPA

 

CHOICE

Language

Full Booking to Choice

Choice framework

Care Planning and Goals

PARTNERSHIP
Selecting Skills to Partnership

Full booking to Partnership

Extended Core & Specialist skills

 

TEAM FACTORS

Individual and team job planning

Multi-disciplinary Peer group discussion

Team away days    

 

An explanation...

 

Language: the words we use lead us into certain ideas. Assessment and treatment are things we do to people and may distract us from working collaboratively. Using Choice and Partnership or other local words can help re-position ourselves with clients.

 

Full Booking to Choice: to run CAPA, the waiting list needs to be cleared, so families can chose an initial Choice appointment when their referral is accepted. This means there is also a key focus on not allowing a waiting list to develop by flexing initial Choice capacity

 

Choice framework: carrying out the four tasks in the initial appointment of Curiosity, Honest Opinion, Informed Consent and Engagement.

 

Care Planning and Goals: reaching a specific Choice point with the family and using this to create a care plan, preferably written. This is continuously reviewed in partnership.


Selecting Skills to Partnership: choosing the goals of partnership and then deciding on which clinicians have the clinical skills to deliver these goals. Saying this in all your correspondence and at the beginning of the Choice appointment.

 

Full booking to Partnership: no internal treatment waits!! This means having job plans clear enough so clinicians have a number of Partnership appointments to offer and some kind of diary system that is available to the Choice clinicians so they can select and book at the Choice appointment.

 

Extended Core & Specialist skills: having the concept in the team of extended core partnership skills with additional specific / specialist job planning to contribute to and support the core work. This means privileging core work but must have specific / specialist work as well.

 

Individual and team job planning: job plans with numbers...

 

Multi-disciplinary Peer group discussion: on a weekly basis, meeting in small groups to discuss on going work. No more than 4 staff. You can either do this at random (which Steve's team likes) or have stable groups (Ann's team). There are pro's and con's to each.

 

Team away days:  absolutely crucial!!!!! Regular days (four a year) can be owned by the team, used to generate a team culture, to create flexibility, recruit all staff voice, fun... Mandatory!

 

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