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Study protocol: cross-national comparative case study of recovery-focused mental health care planning and coordination (COCAPP)

Simpson, Alan, Hannigan, Ben ORCID:, Coffey, Michael, Jones, Aled ORCID:, Barlow, Sally, Cohen, Rachel, V?ete?ková, Jitka, Faulkner, Alison and Haddad, Mark 2015. Study protocol: cross-national comparative case study of recovery-focused mental health care planning and coordination (COCAPP). BMC Psychiatry 15 , 145. 10.1186/s12888-015-0538-2

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Background: The collaborative care planning study (COCAPP) is a cross-national comparative study of care planning and coordination in community mental healthcare settings. The context and delivery of mental health care is diverging between the countries of England and Wales whilst retaining points of common interest, hence providing a rich geographical comparison for research. Across England the key vehicle for the provision of recovery-focused, personalised, collaborative mental health care is the c are programme approach (CPA). The CPA is a form of case management introduced in England in 1991, then revised in 2008. In Wales the CPA was introduced in 2003 but has now been superseded by The Mental Health (Care Co -ordination and Care and T reatment Planning) (CTP) Regulations (Mental Health Measur e), a new statutory framework. In bo th countries, the CPA/CTP requires providers to: comprehensively assess health/social car eneedsandrisks;developawrittencareplan(whichmay incorporate risk assessments, crisis and contingency plans , advanced directives, relapse prevention plans, etc.) in collaboration with the service user and carer(s); alloc ate a care coordinator; and regularly review care. The overarching aim of this study is to identify and describe the factors that ensure CPA/CTP care planning and coordination is personalised, recovery-focused and conducted collaboratively. Methods/design: COCAPP will employ a concurrent transformative mixed methods approach with embedded case studies. Phase 1 (Macro-level) will consider the nat ional context through a meta -narrative mapping (MNM) review of national policies and the relevant research lite rature. Phase 2 (Meso-level an d Micro-level) will include in-depth micro-level case studies of everyday ‘ frontline ’ practice and experience wit h detailed qualitative data from interviews and reviews of individual care plans. This will be nested within larger me so-level survey datasets, senior-level interviews and policy reviews in order to provide potential explanations and understanding. Discussion: COCAPP will help identify the key components that support and hinder the provision of personalised, recovery-focused care planning an d provide an informed rationale for a future planned intervention and evaluation.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: BioMed Central
ISSN: 1471-244X
Funders: NIHR HS&DR
Date of First Compliant Deposit: 8 April 2016
Date of Acceptance: 22 June 2015
Last Modified: 23 May 2023 19:43

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