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CAPA Techniques in Recovery Oriented Practice

Or Some Techniques for ‘Doing’ Recovery Oriented Practice Siri Wooster & Steve Kingsbury: East Herts. CAMHS. CAPA Techniques in Recovery Oriented Practice. What is CAPA?. …the Choice and Partnership Approach a clinical system that evolved in Richmond CAMHS from 2000

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CAPA Techniques in Recovery Oriented Practice

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  1. Or Some Techniques for ‘Doing’ Recovery Oriented Practice Siri Wooster & Steve Kingsbury: East Herts. CAMHS CAPA Techniques in Recovery Oriented Practice

  2. What is CAPA? …the Choice and Partnership Approach • a clinical system that evolved in Richmond CAMHS from 2000 • developed and implemented wholesale in East Herts. CAMHS 2005 and • now being used in many CAMH teams across the world • UK • NZ, Australia, Belgium • And adult mental health (NZ)

  3. CAPA workshops 3500 staff and around 400 teams

  4. What CAPA is… It is about • Doing the right things = on the right goals • With the right people = with the right skills • At the right time = with no waits

  5. Values of CAPA • Users are at the heart of the process • “Led by them and guided by us” • Shift in clinician stance to • Facilitator with expertise rather than expert with power

  6. CAPA Links

  7. The CAPA system…

  8. The 4 Big Ideas p 27-31 There are 4 ideas that separate CAPA from more “traditional” models. These are... • Choice • Core and Specific work • Selecting clinician to Partnership • Team Job Planning

  9. Recovery Principles • Individual uniqueness • Real Choices • Attitude and Rights • Dignity and Respect • Respectful Partnerships Lets look at the links between these and CAPA…

  10. Individual Uniqueness • Recovery recognises that • Whole life matters • Outcomes are personal and • Empowers individuals • CAPA has • The Choice appointment and approach • A Collaborative model

  11. Real Choices • Recovery recognises that: • People need to make their own choices • Supports individuals to take responsibility • We need to encourage individuals to take positive risks • CAPA: • Choice is the central stance in CAPA • Strengths based model • The best risk management is to work actively with the individual

  12. Attitude and Rights • Recovery ask that we… • listen to and act upon communications from people • promote and protects rights • Support people to maintain activities which enhance mental wellbeing. • CAPA • Choice framework

  13. Dignity and Respect • Recovery suggests that we should be… • courteous, respectful and honest • sensitive and respectful of each individual’s own values and culture. • CAPA • promotes a non-hierarchical interaction with young people • Cultural and personal values are a given in CAPA

  14. Respectful Partnerships • Recovery states… • that each person is an expert on their own life • work in positive and realistic ways with individuals to help towards their hopes, goals and aspirations. • CAPA • CAPA uses own expertise to facilitate their choices • Partnership work is a collaborative focused on their choices with continual review of the chosen goals

  15. Techniques Health warning!! These techniques only make sense if Recovery Principles or CAPA principles are embedded in the team culture.

  16. Technique: Change Language Language Used in CAPA • Redefines the relationship between service user and their family and clinician • Impacts on moment-to-moment interactions in sessions

  17. Focus of CAPA work: Choice • What are they worried about? • What’s going on? • How shall we understand it together? • What shall we do about it? • Do they want to come back?

  18. Examples of Language change • Work together vs Treat • Help you choose vs Tell you • Share our thoughts vs Give an opinion • Decide together vs Assess

  19. Technique: Multi-disciplinary Team Discussions • Peer group supervision and Post-Choice discussions • (in addition to individual supervision and whole team clinical discussions) • Small groups • Weekly • Keeps focus on realistic goals • Helps with ‘letting go’

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