CAPA- The Choice and Partnership Approach:

The 11 key components

Steve Kingsbury and Ann York

Steve.Kingsbury@hertspartsft.nhs.ukRowe.york@btinternet.com

www.camhsnetwork.co.uk

The 11 Key Components of CAPA

What are they?

11 Key Components of CAPA

2 Foundation items

3 Choice items

2 Choice to Partnership transfer items

2 Partnership items

2 Letting Go items

11 Components & CAPA steps

Divide the components up functional areas: Choice The transfer Clinical roles Increase throughput The team

11 Components of CAPA

Choice components

The first contact with our service

Needs…

The service has changed the language and no longer refers to assessment, treatment or triage

appointments but either describes it to the family as Choice and Partnership or another local name and

when considering clinical skills refers to a clinical competency not a particular discipline.

making sure that the referrals are appropriate i.e. using eligibility criteria such as referrer seeing child and any appropriate community intervention has happened first,

families can chose an initial Choice appointment when their referral is accepted i.e. full-booking and

there is also a key focus on not allowing a waiting list to develop by flexing initial Choice capacity.

Curiosity Honest Opinion

Joint Formulation

Alternatives Alternatives Alternatives

Choice Point Engagement

The Choice – Partnership transfer

Choosing the right Partnership clinician needs

Booking the young person and family into a vacant initial Partnership appointment at the Choice appointment

1. Needs a Partnership Diary2. Can be with more than one clinician if required3. Requires team job planning (see later)4. Defined Core work….

Using care plan and goals to select a clinician with the right extended core skills

1. Joint formulation made with family2. Range of clinicians with extended clinical skills3. Partnership Diary4. Within 6 weeks, aim for 4 weeks

Partnership

All the interventions of the team both core and specific.

This needs…

1. Idea of extending clinical skills to support specific skills

2. E.g. many team members doing core threshold level work in family therapy or CBT plus specialists in CBT or systemic work

3. Majority of clinical work4. Team job planning…

Each member of staff has an individual job plan that Describes their week Includes choice, partnership, admin, specific,

team meeting time etc Produces activity targets for

Core Partnership Specific Partnership

Integrated into a team plan BUT needs of team inform individuals plan as well as

individual developmental and professional needs

Letting go of families – throughput

Keeping a focus and working effectively requires…

• Choice point is where goals are formed• Can use the CORC goal based outcomes

measure• Homework / engagement

• Trying to make the young person and family active agents in their own change

• Care plan evolves in partnership• Choice in every session so evolves

• Should be written• Outcome measures

• Commitment to client relevant outcome

Meeting on a weekly basis to Discuss on going work Keep a focus on the care plan and goals Help colleagues and self get un-stuck

Small multi-skill groups In team meeting or Attached to Partnership clinics

Can be formed Randomly + challenge – no continuity Stable + continuity and trust – can become

unchallenging

Team Components

And finally to make it all work you absolutely need…

There is a clear working group (involving regular meetings etc) consisting of

an informed and helpful manager either a clinical leader or a clinician empowered to

lead on CAPA and an admin lead

Going somewhere away At least four times a year Owned by staff Range of topics and process

GAINS Team cohesion, cultural change, process ownership,

learning culture, service development…