CPA Review — MRCPsych Paper B MCQ

Correct answer: B — Review mental and physical health, treatment, social needs, recovery goals, risks and crisis arrangements with him, then update the care plan

Explanation lettering: E = shown as C · C = shown as D · D = shown as E

B is correct. A CPA review is a collaborative, person-centred review of coordinated care, not simply a medication or mental-state appointment. It should address current mental and physical health, treatment, social and functional needs, recovery goals, risk, and practical crisis or contingency arrangements. The resulting care plan should be updated to reflect the person’s views; carers may also contribute where appropriate and agreed. A and D are overly restricted to biomedical aspects of care. C inappropriately separates physical and social needs from the coordinated review. E is incorrect because CPA care plans require regular review and amendment in response to the person’s needs, preferences and risks, rather than only after admission or a medication change.

Reference: Royal College of Psychiatrists. Schizoaffective disorder — “Care Programme Approach (CPA)”, published 2015. https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/schizoaffective-disorder?searchTerms=guilt+and+self+harm