CAPA Foundations

CAPA Foundations

CAPA Foundations

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This section of the site will assist with how to implement and achieve fidelity to the CAPA model in detail. Here you will find Quality Improvement tools, Guidelines, Implementation tools and links to other fundamental foundation components.     

Please note content is regularly being updated. For further assistance please contact the CAPA project manager, Stacey Limmer: [email protected]

Click on the headings below to view resources.

Section One Resources

Please click on the tab headings to view resources

CAPA presentation:

We encourage the use of this PowerPoint for teaching sessions within teams. For further assistance with training sessions, please contact the CAPA project manager.

CAPA Service User 'What you need to know' (Resources)

This resource has been developed with young people to help explain the journey through a CAPA CAMHS service.

•  What you need to know (comic version)

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This template has been designed to assist communications teams with developing a resource for young people to explain the journey through a CAPA CAMHS service. Services can use this template and add in additional logos as required. 

•  What you need to know (template)

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He Aratakinga

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This resource aims to explain the principles of the Choice and Partnership Approach from a kaupapa Māori worldview and provide guidance for kaupapa Māori services and mental health providers wanting to develop services for Māori.

The guideline draws on the experiences of existing mental health services and provides examples to demonstrate how the Choice and Partnership Approach could work in a kaupapa Māori setting.

•  CAPA in Kaupapa Māori Services He Aratakinga Guideline

 

Tangata Pasifika

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This resource aims to explain the principles of the Choice and Partnership Approach from a Pacific worldview and provide guidance for Pacific teams/services and mental health providers wanting to develop services for Pacific populations.

The guideline draws on Pacific perspectives and identities where health and wellbeing rely on safe and balanced relationships. 

•  The CAPA Guidelines for Serving Tangata Pasifika

CAPA Postcard

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This resource provides a concise explanation of the Choice and Partnership approach to share with those new to CAPA and for promotional purposes. 

 

 

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A collaboration between MHAIDS, Capital and Coast DHB and Whāraurau.

Note: MHAIDS staff – please complete the MHAIDS Choice and Partnership (CAPA) eLearning on Connect Me, to ensure it shows on your learning record.

This eLearning is designed to be an introduction to the CAPA model for new clinicians and those seeking to refresh their CAPA knowledge. It has been shared on behalf of CCDHB/MHAIDS. 

Werry Workforce Whāraurau is unable to provide certification/acknowledgement of completion. 

CAPA is a continuous service improvement model that combines personalised care and collaborative practice.

There is no registration required. Click 'Start Course' and you're on your way.

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Course Outline:

INTRODUCTION

  • What is CAPA?
  • CAPA Diagram

THE CAPA PROCESS

  • Choice Appointment
  • Partnership Sessions
  • Letting Go

MANAGING CAPA

  • Flow Management
  • Job Planning
  • Staff Development
  • CAPA Summary 

CAPA  eLearning Link to Course

Whāraurau eLearning Opportunities

Foundations in ICAMH: Infant, Child, Youth and Whānau Mental Health

This online training course provides foundation learning on infant, child, youth mental health and how to work with their whānau. It is designed to enhance the skills and knowledge of the ICAMH, NGO and Primary workforces.

As part of the CAPA implementation process, we recommend ensuring all team members complete their foundations learning, either as a refresher or an orientation to working with infants, children, and young people with suspected or identified mental health and/or AOD concerns, and their whānau.

Real Skills Plus ICAMHS/AOD

Real Skills Plus ICAMHS/AOD is a competency framework that describes the knowledge, skills, and attitudes a practitioner needs in order to work with infants, children, and young people that have suspected or identified mental health and/or alcohol or other drug (AOD) difficulties.  

Real Skills Plus ICAMHS/AOD is designed to assess and identify the capabilities and needs of the infant, child, and adolescent/youth mental health and AOD workforce at three performance levels (Primary, Core and Specific) within both primary level services and secondary services. Practitioners assess themselves against listed performance indicators and identify whether they believe they are ‘competent’ or ‘need development’ in that area.

It is recommended teams complete the online assessment annually and align this with the performance review process. Ensuring team members complete the Real Skills Plus ICAMHS/AOD process annually alongside the completion of the team report, Real Skills Plus ICAMHS/AOD  provides a useful overview of the entire team strengths and highlights areas where further skill development may be needed.

CAPA, Real Skills Plus and Foundations webinar: This session overviews RSP ICAMH/AOD competency framework. It gives a good understanding of the framework and how it can be implemented to enhance service delivery and professional development when implementing CAPA.

This session also overviews Foundations in ICAMH training and how this can be used as part of orientation and ongoing staff professional development.

Single Session Family Consultation' (SSFC) Training

The Single Session Family Consultation model (SSFC) is a brief process for engaging and meeting with families/whānau that aims to clarify how the family/whānau will be involved in the individual’s care or support, and to help family/whānau members identify and address their own needs.

SSFC provides a clear, structured and yet flexible process, and can be facilitated by practitioners following training. Training in SSFC provides a real opportunity to increase knowledge and skills in partnering with families/whānau. Increasing numbers of services are adopting SSFC as a framework for the provision of Choice assessments. 

SPHC/SSFC and CAPA Webinar: Supporting Parents Health Children (SPHC) and the Choice and Partnership Approach (CAPA) are initiatives that work well together. 

This webinar presents on Supporting Parents Healthy Children implementation and how one of two specific interventions (Single Session Family Consultation and the 5-Step Method) ‘fit’ within a Choice and Partnership Approach (CAPA) service delivery.

 

Section Two Resources

Please click on the tab headings to view resources

Job Planning

Job planning is one of the key ideas of CAPA using a system of maths to work out the capacity that each individual has in particular segments of the job plan.

Job planning describes what each individual does in terms of their capacity, e.g. how many Choice appointments they are going to do per week, the different streams of Partnership work and so on…

Each individual has a Job Plan that is then combined into a team job plan that will accurately describe what the team can do and thus what demand it can manage.

These documents have been developed to assist with understanding the process of job planning including the provision of a CAPA work plan adapted for the New Zealand context.

CAPA and Service Data for Implementation

Are you having trouble with your job plan multiplier or working out the number of CHOICE appointments you need? If so this is the presentation for you! Some helpful suggestions from the person Ann York dubbed "the queen of data". 

Getting to know your Community

A quality system for Handling Demand requires a multi-agency strategy combined with choice for users. This means being clear about what specialist CAMHS can offer, what  partner agencies within your community can provide , ensuring smooth pathways between them, integrating services, and facilitating families to make informed choices. This  approach requires current knowledge of the services operating within your community and understanding what they can offer. 

Build your community directory

https://www.familyservices.govt.nz/directory/buildyourowndirectory.htm

From this page you can start to discover and create a community directory of providers physically located in your community. You simply select from the options available to produce your community directory.

Once your  PDF has been created, you can use this in multiple ways. 

  • Save either to your desktop or print copies - use as a team resource to help with referring on. Note: This document should  be reviewed often. 
  • Create a small directory of services to present to  families to assist with accessing further support.
  • Develop a directory to assist your team with  identifying services your team can build relationships with. 

Identifying, Building and Sustaining Community Relationships: 

Knowing and building relationships with other services operating in your region is an important part of the Choice and Partnership approach. Some services have come up with some great ways to connect and build relationships: 

  • Whanganui DHB:  ‘Adopt an Agency’ – each team member chooses a service to connect and build a relationship with; share info about what they do and vice versa
  • Waitemata DHB: Used team building day as part of an Amazing race – team members raced around their local area visiting community organisations to introduce and share information re services- relationship building. 

We would welcome hearing from other services about the ways you identify and connect to other community services. Contact [email protected]

Quality Improvement in Healthcare

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“The combined and unceasing efforts of everyone – healthcare professionals, patients and their families, researchers, planners, payers and educators – to make the changes that will lead to better health outcomes (health), better system performance (care) and better professional development (learning).” (Batalden and Davidoff, 2007)

 

This resource has been developed to assist you with understanding quality improvement principles, techniques, skills and tools for effective service design within mental health and AOD services in Aotearoa New Zealand.

Here you will find a range of Quality Improvement tools, templates, links to helpful videos and other resources to help you and your service identify and learn from your service challenges, recognise inefficiencies and find ways to improve systems and processes by doing the right thing, with the right people, at the right time.

► Click here to view the  Quality Improvement tools, templates, links

 

Quality tools:

It is recommended that teams assess service readiness for CAPA by using these tools to highlight strengths and challenges; this will assist with ensuring services can work towards achieving full implementation and fidelity to the CAPA model.

Change Management Webinars

2020 CAPA Lunch and Learn Webinars are a series of ePresentations that offer opportunities for services who are contemplating or have implemented the Choice and Partnership Approach to hear about the techniques around Change Management and CAPA.

7 Helpful Habits (7HH) Assessment:

This tool has been developed to help review services using the 7 Helpful Habits Assessment to  determine how your team is doing with service delivery before and after CAPA implementation. The 7HH tool aims to stimulate discussion and ensure whole service involvement in the process of change and curiosity about the work you do.

Components Rating Scale (CRS):

This tool has been developed to support reviewing the alignment of your service with the Choice and Partnership Approach (CAPA) and the 11 key components. The CRS tool explores the extent to which your service has implemented each CAPA component, determining which components were in place before CAPA was formally introduced as well as looking at your service’s performance on each component. Each section allows teams to explore in greater detail, factors  that are impacting on fidelity to the CAPA model. It is recommended that teams continue to revisit this tool to ensure implementation and fidelity to the model continues to be achieved.

CRS and 7HH Service Feedback Report

Completed CRS and 7HH data are collated and returned to your team in a presentation format. Teams find this information useful in preparation for team days and find the insights assists with targeted future planning within their service. Once your team is ready to complete the tools, please contact the Project Manager [email protected] to discuss the recommended process and timeframes. 

Example presentation

Service Snapshot Evaluation

The information your service provides through this snapshot will assist Werry Workforce Whāraurau to understand your current service demand and effectiveness.  This will enable us to offer targeted CAPA implementation support.

Are you considering becoming a CAPA service? 

For existing CAPA services: 

Youth Consumer Advisors (YCAs) provide lived experience of mental health services from a youth perspective. The role of the YCA is wide and varied and a valuable part of your CAPA service:

  • YCAs can be a valuable part of the co-design process
  • YCAs can help facilitate with  groups; making the group process easier, more accessible an inviting for young people to attend.
  • Many services with YCAs have positive results addressing the new national focus on reducing DNAs
  • YCAs help to gain the views of children and young people in service delivery
  • Staffing issues: YCAs can be a valuable part of the recruitment and retention process

Further information can be found on our Youth Leadership page.