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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.[ clarification needed ]
The model was developed over several years in two NHS trust providers, the Richmond and East Herts Child and Adolescent Mental Health Services. [1]
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. [2] 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;
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.
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. [3]
The work is also guided by the 7 Helpful Habits. [4]
Occupational therapy (OT) is a healthcare profession that involves the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations, of individuals, groups, or communities. The field of OT consists of health care practitioners trained and educated to improve mental and physical performance. Occupational therapists specialize in teaching, educating, and supporting participation in any activity that occupies an individual's time. It is an independent health profession sometimes categorized as an allied health profession and consists of occupational therapists (OTs) and occupational therapy assistants (OTAs). While OTs and OTAs have different roles, they both work with people who want to improve their mental and or physical health, disabilities, injuries, or impairments.
The International Classification of Functioning, Disability and Health (ICF) is a classification of the health components of functioning and disability.
The Centre for Addiction and Mental Health is a psychiatric teaching hospital located in Toronto and ten community locations throughout the province of Ontario, Canada. It reports being the largest research facility in Canada for mental health and addictions. The hospital was formed in 1998 from the amalgamation of four separate institutions – the Queen Street Mental Health Centre, the Clarke Institute of Psychiatry, the Addiction Research Foundation, and the Donwood Institute. It is Canada's largest mental health teaching hospital, and the only stand-alone psychiatric emergency department in Ontario. CAMH has 90 distinct clinical services across inpatient, outpatient, day treatment, and partial hospitalization models. CAMH has been the site of major advancements in psychiatric research, including the discovery of the Dopamine receptor D2.
Child and Adolescent Mental Health Services (CAMHS) is the name for NHS-provided services in the United Kingdom for children, generally until school-leaving age, who are having difficulties with their emotional well-being or are deemed to have persistent behavioural problems. CAMHS are organised locally, and the exact services provided may vary, often by local government area.
Every Child Matters (ECM) is a UK government initiative for England and Wales, that was launched in 2003, at least partly in response to the death of Victoria Climbié. It is one of the most important policy initiatives which has been introduced in relation to children and children's services of the last decade, and has been described as a "sea change" to the children and families agenda. It has been the title of three government papers, leading to the Children Act 2004. Every Child Matters covers children and young adults up to the age of 19, or 90 for those with disabilities.
Kenneth J. Zucker is an American-Canadian psychologist and sexologist. He was named editor-in-chief of Archives of Sexual Behavior in 2001. He was psychologist-in-chief at Toronto's Centre for Addiction and Mental Health (CAMH) and head of its Gender Identity Service until December 2015. Zucker is a professor in the departments of psychiatry and psychology at the University of Toronto.
The Anna Freud Centre is a child mental health research, training and treatment centre located in London, United Kingdom. The Centre aims to transform current mental health provision in the UK by improving the quality, accessibility and effectiveness of treatment, bringing together leaders in neuroscience, mental health, social care and education. It is closely associated with University College London (UCL) and Yale University. The Princess of Wales is its royal patron.
Behavioral health outcome management (BHOM) involves the use of behavioral health outcome measurement data to help guide and inform the treatment of each individual patient. Like blood pressure, cholesterol and other routine lab work that helps to guide and inform general medical practice, the use of routine measurement in behavioral health is proving to be invaluable in assisting therapists to deliver better quality care.
The Association of Mental Health Providers (AMHP), known until May 2017 as Mental Health Providers Forum (MHPF), is a registered charity based in London and the representative body for voluntary and community sector mental health organisations in England and Wales, working nationally and regionally to influence practice and policy. It aims to improve the range and quality of mental health services by increasing the involvement of the voluntary sector in delivering them, working in partnership with the wider sector and government agencies. Specific projects include the promotion of innovation in the sector, evidencing best practice to achieve the best outcomes for individuals and supporting recovery.
Pediatric psychology is a multidisciplinary field of both scientific research and clinical practice which attempts to address the psychological aspects of illness, injury, and the promotion of health behaviors in children, adolescents, and families in a pediatric health setting. Psychological issues are addressed in a developmental framework and emphasize the dynamic relationships which exist between children, their families, and the health delivery system as a whole.
Adaptive mentalization-based integrative treatment (AMBIT) is a novel adaptation of the theory of mentalization and practices of mentalization-based treatment to address the needs of chaotic, complex and multiply comorbid youth, via team-based multimodal practices.
Child and Adolescent Mental Health (CAMH) is a quarterly peer-reviewed medical journal published by Wiley-Blackwell in Britain on behalf of the Association for Child and Adolescent Mental Health. The journal publishes peer-refereed child and adolescent mental health services research relevant to academics, clinicians and commissioners internationally. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities.
Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) is a large provider of integrated mental health and community health services in North London, providing services across Barnet, Enfield, and Haringey. The trust currently employs around 3,000 staff and serves a population of just over a million. The annual income in 2017-18 was c. £210 million.
Oxford Health NHS Foundation Trust is an NHS foundation trust that provides physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and North East Somerset. Its services are delivered at community bases, hospitals, clinics and people's homes.
Any Qualified Provider (AQP) is a contractual system within the NHS internal market of the English National Health Service. The system was introduced under the Labour administration in 2009/10 under the name "Any Willing Provider" and was accelerated under the coalition Government which formed in 2010. In 2011 the name of the system was changed to "Any Qualified Provider", although there were no substantial changes to its operation.
Emily Simonoff is Professor of Child and Adolescent Psychiatry in the Child and Adolescent Mental Health Services (CAMHS) Neuropsychiatry Service, head of the Child and Adolescent Psychiatry department at the Institute of Psychiatry and lead for the CAMHS Clinical Academic Group at King's Health Partners, King's College London.
Stan Kutcher is a Canadian Senator and Professor Emeritus of Psychiatry at Dalhousie University. He was appointed to the Senate of Canada on 12 December 2018.
The Gender Identity Development Service (GIDS) is a nationally operated health clinic in the United Kingdom that specialises in working with children with gender identity issues, including gender dysphoria. Launched in 1989, GIDS is commissioned by NHS England and takes referrals from across the UK, although it is operated at a Tavistock and Portman NHS Foundation Trust site. GIDS is the only gender identity clinic for people under 18 in England and Wales and is the subject of much controversy. In July 2022, the NHS decided to close GIDS and replace it with regional healthcare centres in 2023, following the release of an interim report on the provision of gender identity services for children and adolescents conducted by paediatrician Hilary Cass. In May 2023, it was announced that the closure would be delayed until 2024.
Trauma-informed care (TIC) or Trauma-and violence-informed care (TVIC), is a framework for relating to and helping people who have experienced negative consequences after exposure to dangerous experiences. There is no one single TIC framework, or model, and some go by slightly different names, including Trauma- and violence-Informed Care (TVIC). They incorporate a number of perspectives, principles and skills. TIC frameworks can be applied in many contexts including medicine, mental health, law, education, architecture, addiction, gender, culture, and interpersonal relationships. They can be applied by individuals and organizations.
Trauma-informed approaches in education (TIE) are educational techniques that acknowledge the prevalence of adverse childhood experiences and other traumas on students and attempt to mitigate the widespread impact of such trauma. By adopting trauma-informed principles, educational organizations aim to create a supportive environment that facilitates learning and promotes the emotional well-being of students. Trauma-informed education is referred to with varying terminology. As articulated by the National Child Traumatic Stress Network (NCTSN), trauma-informed approaches in education aim to engage school personnel and community members in interventions that aim to identify and respond to the potential negative effects of traumatic stress within the school system.