Post by Denise on Dec 13, 2004 21:47:50 GMT
The Care Programme Approach is considered by many to be nothing other than formalised good practice. It is a systematic way of assessing, organising and recording multi-agency health and social care with a number of basic principles:•assessment of need;•the involvement of the patient in decision-making;•the involvement of carers;•care planning;•the identification of a care coordinator (keyworker);•regular review.The legislative detail varies between different parts of the UK and Ireland.The principles are consistent and are detailed in the Department of Health (1995) guidance – Building Bridges.
Most patients will not present a risk of violence, but this can only be determined following consideration of risk.. Treatment and rehabilitation should always be directed towards optimising independence. Those particularly vulnerable present a combination of problems:psychological, social and physical. A difficult combination to manage is the vulnerable patient intent on independence and forcefully resistant to care.Information acquired, the process, the decision, the reasoning and the outcome should all be recorded. This will assist considerably in future decision-making. Planning should be in line with the Care Programme Approach. It must include relevant statutory aftercare. Systems for informing the patient’s general practitioner and others should be quick and easy. Clinical GovernanceThe single most important resource available to a service is its staff. Good medical practice is incompatible with a hard pressed work-force with higher than expected case loads, inadequately trained to deal with the complex needs of such patients.Good medical practice implies a service that has sufficient staff with the right skills to deal with the complex needs of these patients. Training Education for trainees and Continuing Professional Development are the cornerstones of training. Training should include the assessment and managementof risk.
Details about how to access training in the management of aggressive behaviour and conflict resolution can be found by clicking on the following link www.cpims.com/aggression%20training.htm
Most patients will not present a risk of violence, but this can only be determined following consideration of risk.. Treatment and rehabilitation should always be directed towards optimising independence. Those particularly vulnerable present a combination of problems:psychological, social and physical. A difficult combination to manage is the vulnerable patient intent on independence and forcefully resistant to care.Information acquired, the process, the decision, the reasoning and the outcome should all be recorded. This will assist considerably in future decision-making. Planning should be in line with the Care Programme Approach. It must include relevant statutory aftercare. Systems for informing the patient’s general practitioner and others should be quick and easy. Clinical GovernanceThe single most important resource available to a service is its staff. Good medical practice is incompatible with a hard pressed work-force with higher than expected case loads, inadequately trained to deal with the complex needs of such patients.Good medical practice implies a service that has sufficient staff with the right skills to deal with the complex needs of these patients. Training Education for trainees and Continuing Professional Development are the cornerstones of training. Training should include the assessment and managementof risk.
Details about how to access training in the management of aggressive behaviour and conflict resolution can be found by clicking on the following link www.cpims.com/aggression%20training.htm