Care management

doi:10.1136/bmj.312.7045.1539b

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Care programme approach constitutes good management

Michael Phelan

Consultant Department of Psychiatry, Charing Cross Hospital, London W6 8RU

EDITOR,—Max Marshall is correct in distinguishing between “standard” case management and “assertive community treatment.”1 Clearly, the benefits suggested by research on assertive community teams cannot be expected for routine community teams, which have lower ratios of staff to patients. This does not mean, however, that the care programme approach offers no benefits to patients and their relatives. It is hard to see how the components of the care …