Services > Types of Care

Types of Cares under

Community Mental Health Services

The Care Program Approach (CPA)

  • Applied to all patients who are under the care of mental health services; it involves the coordination of

    • social care,

    • physical care and

    • mental health care.

  • The patient is allocated a dedicated care coordinator who calls meetings to review care and put "care plan" in place.

  • For more complex cases with more than one professional group involved.

  • A care coordinator can be a member of a community mental health team (CMHT), these teams consist of workers who provide general skills in care coordination but also specialist competencies from their varied professional training and add to clinical care when patients are discussed with the multi-disciplinary team. Doctors can be care coordinators are outpatients but in practice complex patients are allocated to a member of the team with ongoing medical input.

 

The Non-Care Program Approach

  • For less complex presentations, such as outpatients with no complex social needs or current significant risk concerns.

  • The doctor can be the care coordinator.

 

If someone is severely unwell, and unable to be managed by the community mental health team, there are two options:

  • Home Treatment Team: 24-hour seven-days a week treatment to patients in their own home. Home treatment can be an alternative to hospital admission for people in an acute crisis or it can allow early discharge from hospital.

  • Inpatient ward: Offer care and treatment for male and female patients.

 

All aspects of physical health, social care needs and risks are jointly managed by a multi-disciplinary team which forms part of a planned and integrated whole system approach to care, delivered in conjunction with the community services and designed to promote recovery.

Copyright 2012 RevisePsych

Last updated March 2020

www.elu.sgul.ac.uk

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