{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:28:20Z","timestamp":1740126500908,"version":"3.37.3"},"reference-count":45,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T00:00:00Z","timestamp":1499126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2017,8]]},"abstract":"Accessible summary<\/jats:title>What is known on the subject?<\/jats:title>\n\n\nPeople with mental health problems and learning disabilities often do not receive the care they require.<\/jats:p><\/jats:list-item>\n\nThe Care Programme Approach (CPA<\/jats:styled-content>) is meant to help with this. However, there have been many problems in the past with the introduction of the CPA<\/jats:styled-content> into mental health services.<\/jats:p><\/jats:list-item>\n\nThere is no literature which explores what factors help or hinder the introduction of the CPA<\/jats:styled-content> for service users with a mental health and learning disability, especially from the perspective of those responsible for overseeing this process.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>What does this article add to existing knowledge?<\/jats:title>\n\n\nThe implementation of the CPA<\/jats:styled-content> for this service user group is fragmented, and services are not working together in partnership.<\/jats:p><\/jats:list-item>\n\nThe CPA<\/jats:styled-content> is being effectively implemented for people who are deemed to present with a risk to themselves or others. If a service user does not present with a high risk, they are not provided care through the CPA<\/jats:styled-content>.<\/jats:p><\/jats:list-item>\n\nService users were not involved in the development or introduction of the policy in practice.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>What are the implications for practice?<\/jats:title>\n\n\nServices need to work better at engaging service users when they are developing and introducing new policies.<\/jats:p><\/jats:list-item>\n\nRather than applying the CPA<\/jats:styled-content> for all service users, across all services, it should only be considered for those deemed to present with a high risk. It is effectively implemented for these people.<\/jats:p><\/jats:list-item>\n\nFor those not deemed to present with a high risk, services should consider using alternative service user led care planning frameworks.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>Abstract<\/jats:title>Introduction<\/jats:title>The Care Programme Approach was introduced in England to ensure services met the needs of people with mental health problems and a concurrent learning disability (dual diagnosis). The CPA<\/jats:styled-content> implementation was patchy and services failed to work in partnership.<\/jats:p><\/jats:sec>Aim<\/jats:title>This study aimed to explore the factors shaping the recent implementation of the CPA<\/jats:styled-content> for service users with a dual diagnosis.<\/jats:p><\/jats:sec>Method<\/jats:title>A single case study approach was undertaken. Data were collected through interview (n<\/jats:italic>\u00a0=\u00a026), documentary analysis (n<\/jats:italic>\u00a0=\u00a064), steering group observation (n<\/jats:italic>\u00a0=\u00a03) and the Partnership Assessment Tool (n<\/jats:italic>\u00a0=\u00a026). Data were analysed using the Framework Approach.<\/jats:p><\/jats:sec>Results<\/jats:title>The CPA<\/jats:styled-content> was only effectively implemented for people who were deemed to present with a high level of risk.<\/jats:p><\/jats:sec>Discussion<\/jats:title>The problems associated with implementation in the 1990s continue more recently for those with a dual diagnosis. The CPA<\/jats:styled-content> has become more aligned with risk management protocols than supporting individual service user's recovery.<\/jats:p><\/jats:sec>Implications for practice<\/jats:title>Service users should be involved in the implementation of policies which have an impact on their recovery. The CPA<\/jats:styled-content> should only be applied for those who present with high\u2010risk issues, whilst alternative user\u2010led initiatives should be considered for other service users.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.12398","type":"journal-article","created":{"date-parts":[[2017,5,10]],"date-time":"2017-05-10T20:12:45Z","timestamp":1494447165000},"page":"396-402","source":"Crossref","is-referenced-by-count":1,"title":["The implementation of the Care Programme Approach for service users with a learning disability. 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