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Evaluating mental health policy in England: care programme approach and supervision registers

Bindman, Jonathan, Beck, Anatole, Glover, Gyles R., Thornicroft, Graham, Knapp, Martin ORCID: 0000-0003-1427-0215, Leese, Morven and Szmukler, George (1999) Evaluating mental health policy in England: care programme approach and supervision registers. British Journal of Psychiatry, 175 (4). pp. 327-330. ISSN 0007-1250

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Identification Number: 10.1192/bjp.175.4.327


BACKGROUND: The Care Programme Approach (CPA) and supervision register policies in England are intended to prioritize patients to receive specialist mental health care. AIMS: To describe and evaluate the practical application of the policies. METHOD: A questionnaire survey of key informants in mental health provider trusts and an analysis of aggregated data collected by health authorities using the Mental Illness Needs Index as a measure of population need. RESULTS: On average, 1175 per 100,000 total population are subject to the CPA (95% CI = 1055-1309) and 8.6 per 100,000 (95% CI = 7.5-9.9) are on supervision registers. Wide local variations in the number of people subject to the CPA and supervision registers are not explained by variations in population need. CONCLUSIONS: Prioritization to receive specialist mental health services is carried out inconsistently, and inequitable use of resources may result.

Item Type: Article
Official URL:
Additional Information: © 1999 Royal College of Psychiatrists
Divisions: Social Policy
Personal Social Services Research Unit
LSE Health
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine
Date Deposited: 05 Sep 2008 10:03
Last Modified: 15 May 2024 23:43

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