Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T13:57:32.805Z Has data issue: false hasContentIssue false

Assessment of need in patients attending an inner city psychiatric service

Published online by Cambridge University Press:  13 June 2014

Miriam Gannon
Affiliation:
St Brendan's Hospital, Dublin, Ireland
Martina Ryan
Affiliation:
St Vincent's Hospital, Fairview, Dublin 3, Ireland
Anthony Kinsella
Affiliation:
Department of Mathematics, Dublin Institute of Technology, Kevin St, Dublin 2, Ireland

Abstract

Objectives: The aims of this study were to identify the social and clinical needs of patients attending an inner city psychiatric service, to examine the relationship between need and various demographic and social parameters, and to demonstrate the usefulness of the Camberwell Assessment of Need (CAN) in an Irish population.

Methods: A random sample of patients was selected from a census of patients attending the Mater Hospital (Dublin) sector psychiatric service on March 1, 1997 for inclusion in the study. Needs were assessed using the Camberwell Assessment of Need.

Results: Fifty-seven patients agreed to participate in the study. The mean number of needs identified by patients was 2.14 (+/− 2.09) and by staff 1.92 (+/−1.18). There was a high level of correlation between staff and patients. The areas where patients most frequently expressed a need were ‘psychological distress’, ‘company’, ‘physical health’, ‘information’ and ‘looking after the home’. Eighteen patients (32%) identified needs that were not being met.

Conclusions: This study confirms the usefulness of the Camberwell Assessment of Need in the identification of clinical and social needs in psychiatric populations and demonstrates its usefulness in an Irish population.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Slade, M, Thornicroft, C. Health and social needs of the long-term mentally ill. Current Opinion in Psychiatry 1995; 8: 126–29.CrossRefGoogle Scholar
2.Stevens, A, Gabbav, J. Needs assessment needs assessment. Health Trends, 1991;23:20–3.Google ScholarPubMed
3.Hansson, L, Bjorkman, T, Svensson, B. The assessment of needs in psychiatric patients. Acta Psych Scand 1995; 92: 285–93.CrossRefGoogle ScholarPubMed
4.Thornicroft, C, Brewin, C, Wing, J. Measuring mental health needs. London: Royal College of Psychiatrists; 1992.Google Scholar
5.Slade, M. Needs assessment. Involvement of staff and users will help to meet needs. Br J Psvchiatry 1994, 165: 293–6.CrossRefGoogle ScholarPubMed
6.Crown, J. Needs assessment. B J Hosp Med 1991; 46: 307–8.Google ScholarPubMed
7.Mason, P, Wilkinson, C. The prevalence of psychiatry morbidity: OPSC survey of psychiatry morbidity in Great Britain. B J Psychiatry 1996; 168: 13.CrossRefGoogle Scholar
8.Phelan, M, Slade, M, Thornicroft, et al.The Camberwell Assessment of Need: The validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry, 1995: 167: 589–95.CrossRefGoogle ScholarPubMed
9.Brewin, C, Wing, J, Mangen, S, Brugha, TS, MacCarthy, B. Principles and practice of measuring needs in the long-term mentally ill: the MRC needs for care assessment. Psychol Med 1987, 17: 971981.CrossRefGoogle ScholarPubMed
10.Brewin, C, Wing, J. The MEC Needs for Care Assessment: progress ann controversies. Psychol Med 1993; 23: 837–41.CrossRefGoogle Scholar
11.Holloway, F. Need in community psychiatrv: a consensus is required. Psychiatr Bull 1994, 18; 321323.CrossRefGoogle Scholar
12.Hogg, LI, Marshall, M. Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless. Psychol Med 1992;22:1027–34.CrossRefGoogle ScholarPubMed
13.Pryce, ICet al.How important is the assessment of social skills in current long-stay in-patients? B J Psychiatry 193; 162: 498502.CrossRefGoogle Scholar
14.World Health Organisation. The 10th Revision of the International Classification of Diseases and Related Health Problems. Geneva: WHO, 1992.Google Scholar
15.Slade, M, Phelan, M, Thornicroft, , Parkman, S. The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill. Soc Psvchiatrv Psychiatr Epidemiol 1996: 31: 109–13.CrossRefGoogle ScholarPubMed