The Choice and Partnership Approach CAPA was developed

The Choice and Partnership Approach (CAPA) was developed by Ann York and Steve Kingsbury in the United Kingdom. It is a collaborative service improvement model offering Choices to young people and their families/whānau in their dealings with mental health and addiction services, and Partnership with clinicians during treatment.

The Choice and Partnership Approach (CAPA) CAPA aims to maximise the effectiveness of practitioner skills and administration processes where possible to make every step add value for the service user. It is flexible and can be tailored to fit individual services CAPA encourages early face-to-face contact, family/whānau involvement and client self-determination. The first face-toface contact with the service is called the Choice Appointment.

What is Choice ? Curiosity Honest Opinion Informed Consent Engagement

Choice Philosophy The key CAPA philosophy is focusing on the young person and family/whānau viewpoint and wishes. Choice is about engaging the young person and family/whānau, supporting them to make choices about what they need and working together on issues that matter to them.

Choice Values

Choice requires Understanding

Key Components of Choice involves seven basic components - all are key These seven components are not linear The first three are used until a joint formulation is made

The Seven Key Components 1. Curious: being curious and following the young person and family/whānau concerns; really listening to their views, understandings and hopes. 2. Risk and Possible Diagnoses: being active in thinking and discussing risk and screening for any relevant diagnoses. 3. Honest Opinion: this is us presenting our advice or opinion (so far) to discuss together, which leads to Joint formulation

Key Components, continued 4. Joint Formulation: to gradually form an understanding with the young person and family/whānau to what the areas of concern are and what might be helpful. It means recognising family/whānau expertise, strengths and goals in conjunction with clinician expertise and knowledge about best practice and treatment Then…

Key Components, continued 5. Discuss Alternatives in a way that the young person and family/whānau can understand what is available and what may help, leaving enough time for questions. Present as many options as possible to empower the young person and their family/whānau; this leads to the Choice Point.

Key Components, continued 6. Choice Point: agreement as to their goals and a joint understanding and discussion of alternatives to help the young person and family/whānau make an informed Choice about the next step (this may be a Partnership appointment, engaging another service, self-management or something else)

Key Components, continued And finally: 7. Engagement: engage the young person and family/whānau in their own change The majority of the initial part of the Choice appointment is being curious and feeding our opinion into the discussion to gradually create a joint formulation. A key part of our task in this phase is to also consider risk and possible diagnoses, so these can be discussed collaboratively and agreement made on a way forward.

Steps to Choice

Skills to Choice ✓ Excellent engagement skills ✓ Ability and comfort working with a range of therapeutic modalities ✓ Core assessment skills ✓ Able to formulate with families/whānau ✓ Ability to collaboratively develop goals ✓ Able to develop Pre-Partnership work

Skills to Choice, continued ✓ Competent with risk assessment ✓ Outcome focused (includes use of routine outcome measures) ✓ Knowledge and awareness of local services ✓ Knowledge of practice-based evidence and ability to communicate this clearly to young people and family/whānau

• • • Key Messages CAPA aims to maximise the effectiveness of practitioner skills and administration processes where possible to make every step add value. CAPA is all about doing the right things with the right people at the right time by people with the right skills. CAPA is flexible and can be tailored to meet the needs of your community and service. It is important to ensure a consistent approach to Choice appointments so the young person and their family/whānau can have all options available to consider.

For further information on CAPA or to order the Guidelines for Choice please contact the Werry Workforce Whāraurau CAPA Project Manager