Top

Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-11-2010 | Original Paper

Components Associated with Adequacy of Help for Consumers with Severe Mental Disorders

Authors: Marie-Josée Fleury, Myra Piat, Guy Grenier, Jean-Marie Bamvita, Richard Boyer, Alain Lesage, Jacques Tremblay

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2010

Abstract

Needs assessment is key in mental health rehabilitation. Using a representative sample of consumers with severe mental disorders living in supervised housing in Montréal, Québec, the study describes consumer needs and variables associated with the adequacy of help provided. Descriptive, component, and regression analyses were performed. Four needs components, including 20 domains, were examined. Greater adequacy of help was found to be associated with five variables: “daytime social relations”; number of needs; number of unmet needs; gender; and help from services. Components associated with “daytime social relations” and “higher social needs” would be more effectively addressed by integrated healthcare providers.

Andresen, R., Caputi, P., & Oades, L. G. (2000). Interrater reliability of the Camberwell assessment of need short appraisal schedule. Australian and New Zealand Journal of Psychiatry, 34(5), 856–861.PubMed

Arvidsson, H. (2003). Test-retest reliability of the Camberwell assessment of need (CAN). Nordic Journal of Psychiatry, 57(4), 279–283.CrossRefPubMed

Arvidsson, H. (2008). The development of needs in a group of severely mentally ill. A 10-year follow-up study after the 1995 Swedish mental health care reform. Social Psychiatry and Psychiatric Epidemiology, 43(9), 705–713.CrossRefPubMed

Bengtsson-Topps, A., & Hansson, L. (1999). Clinical and social needs of schizophrenic outpatients living in the community: The relationship between needs and subjective quality of life. Social Psychiatry and Psychiatric Epidemiology, 34(10), 513–518.CrossRef

Crosse, C. (2003). A meaningfull day: Integrating psychosocial rehabilitation into community treatment of schizophrenia. Medical Journal of Australia, 178(9 Suppl), s76–s78.PubMed

de Weert-van Oene, G. H., Havenaar, J. M., & Schirjvers, A. J. (2009). Self-assessment of need for help in patients undergoing psychiatric treatment. Psychiatry Research, 167(3), 221–230.CrossRefPubMed

Drukker, M., Bak, M., Driessen, G., van Os, J., & Delespaul, P. A. (2007). Can the “Camberwell Assesment of Need” predict changes in care consumption? Tijdschrift voor Psychiatrie, 49(5), 305–314.PubMed

Drukker, M., van Dillen, K., Bak, M., Mengelers, R., van Os, J., & Delespaul, P. (2008). The use of the Camberwell assessment of need in treatment; what unmet needs can be met? Social Psychiatry and Psychiatric Epidemiology, 43(5), 410–417.CrossRefPubMed

Fleury, M. J., Grenier, G., Caron, J., & Lesage, A. (2008). Patient’s report of help provided by relatives and services to meet their needs. Community Mental Health Journal, 44(4), 271–281.CrossRefPubMed

Fleury, M. J., Grenier, G., & Lesage, A. (2006). Agreement between staff and service users concerning the clientele’s mental health needs: A Quebec study. Canadian Journal of Psychiatry, 51(5), 281–286.

Fleury, M. J., Mercier, C., Lesage, A., Ouadahi, Y., Grenier, G., Aubé, D., et al. (2004). Réseaux intégrés de services et réponse aux besoins. Ottawa: Canadian Health Services Research Foundation (CHSRF).

Freeman, A., Malone, J., & Hunt, G. E. (2004). A statewide survey of high-support services for people with chronic mental illness: Assessments of needs for care, level of functioning and satisfaction. Australian and New Zealand Journal of Psychiatry, 38(10), 811–818.PubMed

Gallagher, J., & Teesson, M. (2000). Measuring disability, need and outcome in Australian community mental health services. Australian and New Zealand Journal of Psychiatry, 34(5), 850–855.PubMed

Grinshpoon, A., & Ponizowsky, A. M. (2008). The relationships between need profiles, clinical symptoms, functioning and the well-being of inpatients with severe mental disorders. Journal of Evaluation in Clinical Practice, 14(2), 218–225.CrossRefPubMed

Haas, G. L., Glick, I. D., Clarkin, J. F., Spencer, J. H., & Lewis, A. B. (1990). Gender and schizophrenia outcome: A clinical trial of an inpatient family intervention. Schizophrenia Bulletin, 16(2), 277–292.PubMed

Hansson, L., Björkman, T., & Svensson, B. (1995). The assessment of needs in psychiatric patients. Interrater reliability of the Swedish version of the Camberwell assessment of needs instrument and results from a cross-sectional study. Acta Psychiatrica Scandinavica, 92(4), 285–293.CrossRefPubMed

Hansson, L., Sandlund, M., Bengtsson-Topps, A., Bjarnason, O., Karlsson, H., Mackeprang, T., et al. (2003). The relationship of needs and quality of life in persons with schizophrenia living in the community. A Nordic multi-center study. Nordic Journal of Psychiatry, 57(1), 5–11.CrossRefPubMed

Hansson, L., Vinding, H. R., Mackeprang, T., Sourander, A., Werdelin, G., Bengtsson-Topps, A., et al. (2001). Comparison of key worker and patient assessment of needs in schizophrenic patients living in the community: A Nordic multicentre study. Acta Psychiatrica Scandinavica, 103(1), 45–51.CrossRefPubMed

Issakidis, C., & Teesson, M. (1999). Measurement of need for care: A trial of the Camberwell assessment of need and the health of the nation outcome scales. Australian and New Zealand Journal of Psychiatry, 33(5), 754–759.PubMed

Joska, J., & Flisher, A. J. (2005). The assessment of need for mental health services. Social Psychiatry and Psychiatric Epidemiology, 40(7), 529–539.CrossRefPubMed

Korkeila, J., Heikkilä, J., Hansson, L., Sorgaard, K. W., Vahlberg, T., & Karlsson, H. (2005). Structure of needs among persons with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 40(3), 233–239.CrossRefPubMed

Lasalvia, A., Ruggeri, M., Mazzi, M. A., & Dall’Agnola, R. (2000). The perception of needs for care in staff and patients in community-based mental health services. The South-Verona Outcome Project 3. Acta Psychiatrica Scandinavica, 102(5), 366–375.CrossRefPubMed

Leese, M., Johnson, S., Slade, M., Parkman, S., Kelly, F., Phelan, M., et al. (1998). User perspective on needs and satisfaction with mental health services. PRiSM Psychosis Study. 8. British Journal of Psychiatry, 173, 409–415.CrossRefPubMed

Leung, A., & Chue, P. (2000). Sex differences in schizophrenia, a review of the literature. Acta Psychiatrica Scandinavica Suppl, 401, 3–38.CrossRef

Macpherson, R., Haynes, R., Summerfield, L., Foy, C., & Slade, M. (2003). From research to practice. A local mental health services needs assessment. Social Psychiatry and Psychiatric Epidemiology, 38(11), 276–281.CrossRefPubMed

Maslow, A. (1954). Motivation and personality. New York: Harper and Row.

McCrone, P., Leese, M., Thornicroft, G., Schene, A., Knudsen, H. C., Vazquez-Barquero, J.-L., et al. (2001). A comparison of needs of patients with schizophrenia in five European countries: The EPSILON Study. Acta Psychiatrica Scandinavica, 103(5), 370–379.CrossRefPubMed

Middleboe, T., Mackeprang, T., Hansson, L., Werdelin, G., Karlsson, H., Bjarnason, O., et al. (2001). The Nordic study on schizophrenic patients living in the community. Subjectives needs and perceived help. European Psychiatry, 16(4), 207–214.CrossRef

Mueser, K. T., Levine, S., Bellack, A. S., Douglas, M. S., & Brady, E. U. (1990). Social skills training for acute psychiatric inpatients. Hospital & Community Psychiatry, 41(11), 1249–1251.

Nielsen, L. F. (1999). Need assessment in long-term psychiatric patients. Inter-rater reliability and test–retest reliability of the Danish version of the Camberwell assessment of need. Nordic Journal of Psychiatry, 53(5), 371–376.CrossRef

OCFCMHAP. (1999). The Canadian Toolkit for measuring psychosocial rehabilitation outcomes. Toronto: Ontario Federation of Community Mental Health and Addiction programs.

Ochoa, S., Haro, J. M., Autonell, J., Pendàs, A., Teba, F., Màrquez, M., et al. (2003). Met and unmet needs of schizophrenia patients in a Spanish sample. Schizophrenia Bulletin, 29(2), 201–210.PubMed

Phelan, M., Slade, M., Thornicroft, G., Dunn, G., Holloway, F., Wykes, T., et al. (1995). The Camberwell assessment of need: The validity and reliability of an instrument to assess the needs of people with severe mental illness. British Journal of Psychiatry, 167(5), 589–595.CrossRefPubMed

Piat, M., Lesage, A., Boyer, R., Dorvil, H., Couture, A., Grenier, G., et al. (2008). Housing for persons with serious mental illness: Consumer and service provider preferences. Psychiatric Services, 59(9), 1011–1017.CrossRefPubMed

Piat, M., Sabetti, J., Couture, A., Sylvestre, J., Provencher, H., Botschner, J., et al. (2009). What does recovery mean for me? Perspective of Canadian mental health consumers. Psychiatric Rehabilitation Journal, 32(3), 199–207.CrossRefPubMed

Simons, L., & Petch, A. (2002). Needs assessment and discharge: A Scottish perspective. Journal of Psychiatric and Mental Health Nursing, 9(4), 435–445.CrossRefPubMed

Slade, M., Beck, A., Bindman, J., Thornicroft, G., & Wright, S. (1999). Routine clinical outcome measures for patients with severe mental illness: CANSAS and HoNOS. British Journal of Psychiatry, 174, 404–408.CrossRefPubMed

Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005). Patient-rated mental health needs and quality of life improvement. British Journal of Psychiatry, 187, 256–261.CrossRefPubMed

Slade, M., Leese, M., Ruggeri, M., Kuipers, E., Tansella, M., & Thornicroft, G. (2004). Does meeting need improve quality of life? Psychotherapy and Psychosomatics, 73(3), 183–189.CrossRefPubMed

Slade, M., Phelan, M., & Thornicroft, G. (1998). A comparison of needs assessed by staff and by an epidemiologically representative sample of patients with psychosis. Psychological Medicine, 28, 543–550.CrossRefPubMed

Smith, T. E., Hull, J. W., Anthony, D. T., Goodman, M., Hedayat-Harris, A., Felger, T., et al. (1997). Post-hospitalization treatment adherence of schizophrenic patients: Gender differences in skill acquisition. Psychiatry Research, 69(2–3), 123–129.CrossRefPubMed

Thornicroft, G., & Slade, M. (2002). Comparing needs assessed by staff and by services users: Paternalism or partnership in mental health? Epidemiologia e Psichiatriea Sociale, 11(3), 186–191.

Van Busschbach, J., & Wiersma, D. (2002). Does rehabilitation meet the needs of care and improve the quality of life of patients with schizophrenia or other chronic mental disorders? Community Mental Health Journal, 38(1), 61–70.CrossRefPubMed

Wennström, E., Sörbom, D., & Wiesel, F. A. (2004). Factor structure in the Camberwell assessment of need. British Journal of Psychiatry, 185, 505–510.CrossRefPubMed

Wennström, E., & Wiesel, F. A. (2006). The Camberwell assessment of need as an outcome measure in routine mental health care. Social Psychiatry and Psychiatric Epidemiology, 41(9), 728–733.CrossRefPubMed

WHO. (2001). The world health report 2001—mental health: New understanding, new hope. Geneva: World Health Organization.

Wiersma, D. (2006). Needs of people with severe mental illness. Acta Psychiatrica Scandinavica. Supplementun, 429, 115–119.CrossRef

Wiersma, D., Nienhuis, F. J., Giel, R., & Slooff, C. J. (1998). Stability and change in needs of patients with schizophrenic disorders: A 15- and 17-year follow-up from first onset of psychosis, and a comparison between ‘objective’ and ‘subjective’ assessments of needs for care. Social Psychiatry and Psychiatric Epidemiology, 33(2), 49–56.CrossRefPubMed

Wiersma, D., & van Busschbach, J. (2001). Are needs and satisfaction of care associated with quality of life? An epidemiological survey among the severely mentally ill in The Netherlands. European Archives of Psychiatry and Clinical Neuroscience, 251(5), 239–246.CrossRefPubMed

Wiersma, D., van den Brink, R., Wolters, K., McCabe, R., Bullenkamp, J., Hansson, L., et al. (2009). Individual unmet needs for care: Are they sensitive as outcome criterion for the effectiveness of mental health services interventions? Social Psychiatry and Psychiatric Epidemiology, 44(4), 317–324.CrossRefPubMed

Title: Components Associated with Adequacy of Help for Consumers with Severe Mental Disorders
Authors: Marie-Josée Fleury
Myra Piat
Guy Grenier
Jean-Marie Bamvita
Richard Boyer
Alain Lesage
Jacques Tremblay
Publication date: 01-11-2010
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2010
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-010-0292-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Components Associated with Adequacy of Help for Consumers with Severe Mental Disorders

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2010

The Eye of the Beholder: Youths and Parents Differ on What Matters in Mental Health Services

Desirable Characteristics and Competencies of Supported Employment Specialists: An Empirically-Grounded Framework

The Relationship Between Outpatient Mental Health Treatment and Subsequent Mental Health Symptoms and Disorders in Young Adults

How Should we Implement Psychiatric Advance Directives? Views of Consumers, Caregivers, Mental Health Providers and Researchers

Parent Advocates in Children’s Mental Health: Program Implementation Processes and Considerations