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Supervision registers and the care programme approach: a practical solution

Adult Mental Health Lewisham and Guy's Mental Health Trust, Guy's Hospital, St Thomas Street London SE1 9RT

David Roy, Director of Mental Health

West Lambeth Community Care Trust, South Western Hospital, Pulross Road, Stockwell, London SW9 8EA

Frank Holloway, Clinical Director

Community Directorate, Maudsley and Bethlem NHS Trust, Denmark Hill, London SE5 8AZ

Zerrin Atakan, Consultant Psychiatrist

West Lambeth Community Care Trust, South Western Hospital, Pulross Road, Stockwell, London SW9 8EA

Tony Goss, Contract Manager

Mental Health and Substance Misuse, Lambeth Southwark and Lewisham Health Commission, 1 Lower Marsh, London SE1

^* Correspondence

Although the principles behind the care programme approach have generally been welcomed, its implementation has at best been patchy and at worst a complete failure. The principles behind supervision registers have not been welcomed by most psychiatrists. This paper presents a practical solution to the major problems associated with the implementation of the care programme approach and supervision registers by defining pragmatic criteria for inclusion on these registers and the services which should be provided to registered patients. This solution was agreed between purchasers and providers following a series of consultative meetings and this is a process which must be recommended.

This article has been cited by other articles:

				M. Philpot, H. Hales, B. Sheehan, S. Reeves, and M. Lawlor The use of operationalised criteria for inclusion on a Care Programme Approach register Psychiatr. Bull., May 1, 2001; 25(5): 172 - 174. [Abstract] [Full Text]