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Perceived need is relevant to an assessment of the dynamics of a service delivery system. An individual's perceptions of what is appropriate treatment may influence the acknowledgement of a problem. Current models of mental health care delivery increasingly emphasize the role of the individual as an active consumer, influenced by the development of consumer empowerment movements. The Perceived Need for Care Questionnaire is an instrument that can be delivered in some two minutes in a population-based survey. To illustrate the operation of the questionnaire, this chapter presents the sequence of responses from one imaginary survey participant. The concept of perceived need overlaps with a number of other ideas such as literacy, demand and want. The described instrument for assessing perceived need relies on a particular conception of need, which is based on an internal cognitive process that occurs in an individual seeking help.
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