HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit an eLetter View responses Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Bhaumik, S. Articles by Watson, J. M. Search for Related Content PubMed Articles by Bhaumik, S. Articles by Watson, J. M.

Service innovations: risk assessment in learning disability

Learning Disability Service, Leicestershire Partnership NHS Trust, Leicester Frith Hospital, Groby Road, Leicester LE3 9QF (tel: 0116 225 5310; fax: 0116 225 5202; e-mail: bhaumikuk{at}yahoo.co.uk) and Honorary Senior Lecturer, University of Leicester

S. S. Nadkarni, Associate Specialist and A. B. Biswas, Consultant Psychiatrist

Learning Disability Service, Leicestershire Partnership NHS Trust

J. M. Watson, Research Associate

University of Leicester

Declaration of interest

None.

Abstract

AIMS AND METHOD

The aim of the study was to evaluate the effectiveness of the care programme approach (CPA) in adults with learning disabilities in a specialist treatment unit by auditing all in-patient records over a 6-month period. A multidisciplinary team set CPA standards. Staff on the unit completed questionnaires about patients, including CPA screening and risk assessment/management, and carers completed questionnaires about their perceptions of risk and information sharing.

RESULTS

Of the 15 patients whose records were reviewed, 13 had CPA screening on admission and 12 on discharge. Before discharge, 9 patients had a CPA planning meeting and only 4 patients had a demonstrable risk management plan. Carers of 9 patients perceived that information was shared.

CLINICAL IMPLICATIONS

Major deficiencies identified in risk assessment and management and in information sharing may potentially jeopardise successful treatment and after-care.

This article has been cited by other articles:

				A. Ali, I. Hall, C. Taylor, S. Attard, and A. Hassiotis Auditing the care programme approach for people with learning disability: a 4 -year audit cycle Psychiatr. Bull., November 1, 2006; 30(11): 415 - 418. [Abstract] [Full Text] [PDF]

eLetters: