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The Care Programme Approach: dimensions of evaluation
- Authors:
- DOWNING Angela, HATFIELD Barbara
- Journal article citation:
- British Journal of Social Work, 29(6), December 1999, pp.841-860.
- Publisher:
- Oxford University Press
Describes a study that examined the first six months of implementation of the Care Programme Approach (CPA) at a psychiatric unit of a district general hospital. From an analysis of the research literature on case management, and from current policy, a framework was developed which was used to analyse the implementation under study. The objectives were to ensure continuity of care and reduce hospital admission amongst people with severe and enduring mental health problems. The study shows that most of these features were achieved in the implementation, although there was no evidence that hospital admissions were avoided. A number of factors were found to be associated with re-admission, and these are discussed in the light of the findings of other studies.