Abstract
The association between the assessment of need by staff and by severely mentally ill patients was examined using a new needs assessment instrument, the Camberwell Assessment of Need (CAN). In all, 49 staff-patient pairs were interviewed separately using the CAN as part of a larger reliability study. For each of 22 areas of need, we assessed agreement on (1) the presence of need, (2) the informal and formal help currently being given, (3) the formal help needed and (4) satisfaction with the type of help being received. Staff and patients rated a similar number of needs, but not in the same areas. There was better agreement between staff and patients regarding needs that have a specific service intervention. Agreement between staff and patient ratings of help received, help given and service satisfaction was low. We concluded that needs are very often assessed differently by staff and patients, which has implications for how needs are assessed in clinical practice.
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References
Bradshaw J (1972) A taxonomy of social need. In: McLachlan G (ed) Problems and progress in medical care: essays on current research, 7th series. Oxford University Press, London pp 69–82
Brewin C, Wing J, Mangen S, Brugha T, MacCarthy B (1987) Principles and practice of measuring need in the long-term mentally ill: the MRC Needs for Care Assessment. Psychol Med 17: 971–981
Clifford P, Charman A, Webb Y, Craig T, Cowan D (1991) Planning for community care: The Community Placement Questionnaire. Br J Clin Psychol 30: 193–211
Department of Health Social Services Inspectorate (1991) Care Management and assessment: practitioner's guide. HMSO London
Ellis K (1993) Squaring the circle: user and carer participation in needs assessment. Joseph Rowntree Foundation, York
Herman D, Struening E, Barrow S (1993) Self-Assessed need for mental health services among homeless adults. Hosp Community Psychiatry 44: 1181–1183
Landis J, Koch G (1977) The measurement of observer agreement for categorical data. Biometrics 33: 159–174
MacCarthy B, Benson J, Brewin C (1986) Task motivation and problem appraisal in long-term psychiatric patients. Psychol Med 16: 431–438
Netten A, Beecham J (1993) Costing community care. Ashgate, Aldershot
Phelan M, Slade M, Thornicroft G, Dunn G, Holloway F, Wykes T, Strathdee G, Loftus L, McCrone P, Hayward P (1995) The Camberwell Assessment of Need (CAN): the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 167: 589–595
Sayce L (1990) Waiting for community care; implications of government policy for 1991. MIND Publications, London
Slade M (1994) Needs assessment. Br J Psychiatry 165: 293–296
Slade M, Thornicroft G (1995) Health and social needs of the longterm mentally ill. Curr Opin Psychiatry 8: 126–129
Stevens A, Gabbay J (1991)_Needs assessment needs assessment. Health Trends 23: 20–23
Thornicroft G, Brewin C, Wing J (1992) Measuring mental health needs. Royal College of Psychiatrists, London
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Slade, M., Phelan, M., Thornicroft, G. et al. The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill. Soc Psychiatry Psychiatr Epidemiol 31, 109–113 (1996). https://doi.org/10.1007/BF00785756
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DOI: https://doi.org/10.1007/BF00785756