Administrative demands of care programme approach

EDITOR,—Max Marshall makes the point that the care programme approach has never been fully evaluated, and that its American counterpart, case management, has not proved to be a particularly successful approach.1 In Britain, some studies have claimed that the approach is successful—for example, in tailoring care to individual needs—whereas others have shown that care programme approach fails to improve outcome and has no effect on rates of suicide or reoffending.2 3

We investigated the …