A simple ladder of bricks

Or... OK it's not working!

We had met and talked to several hundred CAMHS teams in the last 5 years. And many struggle with getting CAPA into place.

The two major reasons is that they have implanted a myth or they have been too rigid and not amended some of the practicalities for their local service issues.

Some services only implement some of the 11 components - "CAPA light". This might bring some gains but the whole model and thus the whole philosophy brings the lot.

So this section is structured into a basic review of the 11 components (a really common reason is some missing etc) and then moving on to more specific issues and examples.