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The care programme approach (CPA) is 'used in secondary mental health care to assess, plan, review and co-ordinate the treatment for people who have complex characteristics' (DoH, 2008). The occupational therapy department within secure services at Birmingham and Solihull Mental Health Foundation Trust completed an audit of the CPAs across four sites. The aim of the audit was to develop an evaluation using a selection of existing CPA reports to identify if the outcome option has been completed and to identify a percentage of achieved, partially achieved and not achieved within forensic practice. A table was created for each site with the aim of identifying if the outcome was completed and if they were achieved/partially achieved/not achieved. The information was collected from a sample of three CPAs from each occupational therapist across four sites and sample bias was reduced through the CPAs being randomly selected. Overall 65 samples of CPA reports were obtained. One of the main findings was that the outcome was not always completed on the CPA report. In addition, most goals were partially achieved by service users; however, not all CPA reports were uploaded to clinical documentation. The recommendations found from the evaluation are to create a standardised CPA template to provide consistency and to increase awareness around the use of outcome measures. It is recommended that another audit is completed which will explore the goals that were set, the quality of the interventions and whether this impacted on the service user achieving the goal. [ABSTRACT FROM AUTHOR]