[AVBC 2025] Implementation of the Choice and Partnership Approach (CAPA) at IMH-CGC
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
3 December 2025
To improve accessibility to care by streamlining processes and reducing wait times, improve manpower utilization, and. The pilot has showcased success in reducing wait times and maintaining high levels of patient satisfaction.
Year Submitted: 2025
Published Date: 03 December 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Value Based Care, Patient Satisfaction, Access To Care, Waiting Time
About this Content
Aims
To improve accessibility to care by streamlining processes and reducing wait times, improve manpower utilization, and strengthen collaborations.
Background
The Institute of Mental Health's Child Guidance Clinic (IMH-CGC) faces increasing demand for child psychiatric services. Traditional doctor-first assessments often result in extended wait times and multiple handovers, reducing access to psychological services. To address this, IMH-CGC implemented the Choice and Partnership Approach (CAPA), an internationally-validated service model.
Methods
98 patients participated in this pilot at IMH-CGC. Instead of traditional physician-led assessments, a team of six Allied Health Professionals conducted 90-minute Choice Appointments, alongside one consultant psychiatrist's clinical endorsement.
Results
CAPA implementation at IMH-CGC has reduced wait times from 6-9 to 3-5 months, achieved perfect referral matching, and garnered exceptional patient satisfaction (113/114 CHI-ESQ).
Conclusion
The pilot has showcased success in reducing wait times and maintaining high levels of patient satisfaction. This also demonstrated CAPA's effectiveness in providing appropriate value-based care in Singapores tertiary mental health services.
Lessons Learnt
The model successfully balances clinical standards with efficiency through its team-based approach, whilst promoting youth and caregiver empowerment from the first consultation.
Keywords
CAPA, wait times, patient satisfaction, mental health, service model
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Institute of Mental Health |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | Psychiatry |
Project Lead(s) | Ho Pui Fong Serena |
Project Member(s) | Lee Ju Liang Julian |
Connect with this contributor!
Ho Pui Fong Serena - serena.pf.ho@nhghealth.com.sg