The purpose of these meetings is for all those involved with the treatment or care of a patient to share current and historical information regarding the patient; and generate a consistent plan and approach in working with the patient. An assessment of their health and social care needs will take place and the care plan will set out the care, treatment and support that will be given to the patient, clearly stating who will provide those interventions.

Meetings are usually scheduled once every few months or when significant changes are happening in a person’s life or situation (however, CPA meetings should take place every six months). Meetings are held at the time and place most convenient for all involved, usually the Community Mental Health Team premises or hospitals and usually last about one hour at most.


Why, when, and where do C.P.A. / Review meetings occur?

1. The consultant psychiatrist, therapist, Responsible Medical Officer (R.M.O).
2. Staff representatives from the ward/project the patient is involved in - for example, residential care, day care, or vocational programmes; hospital or psychiatric emergency services.
3. The care manager or key-worker.

1. Information is exchanged. Each person reviews the client’s progress (or lack thereof) since the last meeting or since he or she began working with the patient. In addition, people may need to acquaint one another with the services they or their projects offer, relevant procedures, and so forth.
2. Each person’s understanding of the patient’s dynamics, strengths, problems, and goals is identified.
3. If the client appears, he/she will usually be asked for input regarding number 2 above and be informed of the concerns, recommendations, and decisions of the team.
4. A plan is discussed and agreed upon that addresses:
• Which areas most need attention and how team members will work with the client toward identified goals.
• Any changes that need to occur and how they will be implemented, such as placement, medication, and so forth.
• When the next meeting will occur.

1. Write down beforehand what you want to say. The meeting can be quite intimidating.
2. Take with you any important historical information that you think may not be known to those attending.
3. Present concise descriptions of recent behavior, especially any changes you have observed in your relative.
4. Prepare and make brief statements regarding:
• Concerns you may have about your relative and/or the current treatment.
• Recommendations about how these or other concerns may best be addressed.
• Any other relevant information of other support or services that may assist in rehabilitation.