{{Short description|Psychiatric model of engagement and clinical assessment}} {{Context||details=|date=May 2020}}{{More citations needed|date=October 2016}}

The '''Choice and Partnership Approach''' (CAPA) is a model of engagement and clinical assessment, principally used in child and adolescent psychiatric services. It aims to use collaborative ways of working with service users to enhance the effectiveness of services and user satisfaction with services.{{Clarify|reason=|date=May 2020}}

==Origins== The CAPA model was developed in the early 2000s in two English NHS trust providers.<ref>{{cite web|title=What is CAPA?|url=http://www.capa.co.uk/homes/intro.htm|website=CAPA: The Choice and Partnership Approach:Introduction|access-date=15 June 2016}}</ref> Originally it was an initiative designed to improve service effectiveness and the management of service demand and capacity in UK Child and Adolescent Mental Health Services (CAMHS).<ref>{{Cite journal |last1=Campbell |first1=Leslie Anne |last2=Clark |first2=Sharon E |last3=Chorney |first3=Jill |last4=Emberly |first4=Debbie |last5=MacDonald |first5=Julie |last6=MacKenzie |first6=Adrian |last7=Warner |first7=Grace |last8=Wozney |first8=Lori |date=2022-10-19 |title=Choice and Partnership Approach to community mental health and addiction services: a realist-informed scoping review |journal=BMJ Open |language=en |volume=12 |issue=10 |article-number=e064436 |doi=10.1136/bmjopen-2022-064436 |doi-access=free|issn=2044-6055 |pmc=9582326 |pmid=36261240}}</ref><ref>{{Cite web |title=Introducing CAPA |url=https://www.capa.co.uk/introducing-capa/ |access-date=2024-03-24 |website=CAPA}}</ref>

==Model== CAPA focuses on the experience of the service user. It is a collaborative model where the clinicians providing the assessment act as facilitators for the user and their family.<ref>{{cite web|title=Details of CAPA|url=http://www.capa.co.uk/intro/detailsofcapa.html|website=CAPA: The Choice and Partnership Approach: Details of CAPA|access-date=15 June 2016|archive-url=https://web.archive.org/web/20160813065243/http://www.capa.co.uk/Intro/detailsofcapa.html|archive-date=13 August 2016}}</ref> Once a referral is accepted by the service, the user is contacted to arrange a convenient time for an appointment. This is the ''Choice Appointment''. The possible outcomes of this appointment are that the client; * Decides they do not need further service * They are referred to another provider * They receive further appointments and work with a clinician in the service

The appointment tries to be collaborative and strengths based. Once a user is accepted, they enter the ''Partnership'' phase. The clinician continues to act as a ''facilitator with expertise'' rather than an expert with power. The work is composed of aspects that are ''Core work'' and parts that are ''Specialist work''.

==Principles underlying the model== The model is based on transparent collaboration, finding user strengths and developing a shared formulation. The original model refers to 11 key components, all of which should be implemented to work the best.<ref>{{cite web|title=Evaluation of the Choice and Partnership Approach in Child and Adolescent Mental Health Services in England, December 2009|url=https://www.mentalhealth.org.uk/sites/default/files/CAPA_PDF.pdf|website=MentalHealth.org.uk|access-date=15 June 2016}}</ref>

# Management leadership # Language # Handle demand # Choice framework # Full booking to Partnership # Selecting Partnership clinician by skill # Extended clinical skills in core work # Job planning # Goal setting and care planning # Peer group supervision # Team away days

The work is also guided by the 7 Helpful Habits.<ref>{{cite web|last1=Dunnachie|first1=Bronwyn|title=The Choice & Partnership Approach (CAPA) & 7 HELPFUL Habots of Effective CAMHS|url=http://www.tepou.co.nz/uploads/files/resource-assets/the-choice-and-partnership-approach-capa-and-seven-helpful-habits-of-effective-camhs.pdf|website=TePou.co.nz|access-date=15 June 2016}}</ref> * '''H'''andle Demand * '''E'''xtend Capacity * '''L'''et Go of Families * '''P'''rocess Map * '''F'''low management * '''U'''se Care Bundles * '''L'''ook After Staff

== References == {{Reflist}}

== External links == * [http://www.capa.co.uk The CAMHS UK Network] * [http://www.werrycentre.org.nz The Werry Center] * [http://www.youngminds.org.uk CAPA Model training]

Category:Psychiatric models Category:Child development Category:Mental health in the United Kingdom Category:Child and adolescent psychiatry