Needs assessment
While it will certainly not be necessary to provide the CPA for every patient referred to the CMHT, the Care Programme Approach Needs Assessment Checklist provides a comprehensive systematic guide to needs assessment. Common areas of need for people with personality disorder, from which specific treatment goals can be identified, include:
medication including:
- polypharmacy
- compliance issues
concurrent mental health conditions including:
- mood and anxiety disorders
- substance misuse disorders
physical health including:
- not accessing appropriate care for medical conditions
- reduced self-care including suboptimal management of chronic medical conditions
emotional support including:
- crisis resolution
- containment strategies
accommodation including:
- difficulty maintaining a tenancy
social/interpersonal situation including:
- lack of interpersonal contacts
- lack of leisure time activities
employment, education or other meaningful, structured use of time
financial including
- debt problems
- benefits issues
- financial management difficulties
dependent children/ other dependents including
- difficulties managing childcare tasks