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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 9/2006

01-09-2006 | ORIGINAL PAPER

The Camberwell assessment of need as an outcome measure in routine mental health care

Authors: Erik Wennström, Frits-Axel Wiesel

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 9/2006

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Abstract

Background

Subsidiary findings in several studies indicate that the standard summary scores (total number of needs, met needs and unmet needs) of the Camberwell Assessment of Need (CAN) may conceal important differences among patient populations at the item level of the measure. The aim of this study was to investigate whether changes in need and need status at the item level are adequately reflected by changes in the summary scores.

Methods

In a longitudinal design assessments of need in 1997 and 2003 of 192 outpatients (mean age 45.4 years, 78.1% psychotic disorders) in routine mental health care were compared.

Results

None of the summary scores changed between 1997 and 2003. This result, however, was contradicted by significant changes in needs at the item level.

Conclusions

The summary scores conceal changes in need on the underlying items and thus is recommended not to be used as dependent measures when comparisons among populations or between points in time are of interest.
Literature
1.
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, Fourth Edition (DSM-IV). American Psychiatric Association, Washington, DC
2.
Becker T, Knapp M, Knudsen HC, Schene AH, Tansella M, Thornicroft G, Vázques-Barquero JL (1999) The EPSILON study of schizophrenia in five European countries. Design and methodology for standardising outcome measures and comparing patterns of care and service costs. Br J Psychiatry 175:514–521PubMedCrossRef
3.
Ericson BG, Hansson JH, Teike T (1997) Urgent need for a Need Assessment Scale in monitoring social support: a validation study on the Swedish version of the Camberwell Assessment of Need. Nord J Psychiatry 51:173–182
4.
Hansson L, Bjoerkman 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 Psychiatr Scand 92:285–293PubMed
5.
Hansson L, Vinding HR, Mackeprang T, Sourander A, Werdelin G, Bengtsson Tops A, Bjarnason O, Dybbro J, Nilsson L, Sandlund M, Sorgaard K, Middelboe T (2001) Comparison of key worker and patient assessment of needs in schizophrenic patients living in the community: a Nordic multicentre study. Acta Psychiatr Scand 103:45–51PubMedCrossRef
6.
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. Aust NZ J Psychiatry 33:754–759CrossRef
7.
Knapp M, Chisholm D, Leese M, Amaddeo F, Tansella M, Schene AH, Thornicroft G, Vazquez Barquero JL, Knudsen HC, Becker T (2002) Comparing patterns and costs of schizophrenia care in five European countries: the EPSILON study. Acta Psychiatr Scand 105:42–54PubMedCrossRef
8.
Korkeila J, Heikkilä J, Hansson L, Sorgaard KW, Vahlberg T, Karlsson H (2005) Structure of needs among persons with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 40:233–239PubMedCrossRef
9.
Landis RJ, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174PubMedCrossRef
10.
Lasalvia A, Ruggeri M, Mazzi MA, Dall´Agnola RB (2000) The perception of needs for care in staff and patients in community-based mental health services. The South-Verona Outcome Project 3. Acta Psychiatr Scand 102:366–375
11.
McCrone P, Leese M, Thornicroft G, Schene AH, Knudsen HC, Vazquez Barquero JL, Lasalvia A, Padfield S, White IR, Griffiths G, Group ES (2000) Reliability of the Camberwell Assessment of Need – European version: EPSILON study 6. Br J Psychiatry 177:s34–s40CrossRef
12.
McCrone P, Leese M, Thornicroft G, Schene AH, Knudsen HC, Vazquez Barquero JL, Tansella M, Becker T, Chisholm D (2001) A comparison of needs of patients with schizophrenia in five European countries: the EPSILON Study. Acta Psychiatr Scand 103:370–379PubMedCrossRef
13.
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: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 167:589–595PubMed
14.
Ruggeri M, Lasalvia A, Tansella M, Bonnetto C, Abate M, Thornicroft G, Allevi L, Oginbene P (2004) Heterogeneity of outcomes in schizophrenia. 3-year follow-up of treated prevalent cases. Br J Psychiatry 184:48–57PubMedCrossRef
15.
Salvi G, Leese M, Slade M (2005) Routine use of mental health outcome assessments: choosing the measure. Br J Psychiatry 186:146–152PubMedCrossRef
16.
Siegel S, Castellan NJ (1988) Nonparametric statistics for the behavioral sciences. McGraw-Hill, New York
17.
Slade M (1996) Assessing the needs of the severely mentally ill: cultural and professional differences. Intl J Soc Psychiatry 42:1–9
18.
Slade M, Beck A, Bindman J, Thornicroft G, Wright S (1999) Routine clinical outcome measures for patients with severe mental illness: CANSAS and HoNOS. Br J Psychiatry 174:404–408PubMedCrossRef
19.
Slade M, Phelan M, Thornicroft G (1998) A comparison of needs assessed by staff and by an epidemiologically representative sample of patients with psychosis. Psychol Med 28:543–550PubMedCrossRef
20.
Slade M, Phelan M, Thornicroft G, Parkman S (1996) 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 31:109–113PubMedCrossRef
21.
Slade M, Thornicroft G, Loftus L, Phelan M, Wykes T (1999) CAN: Camberwell assessment of need. A comprehensive needs assessment tool for people with severe mental illness. Gaskell, London
22.
Wennström E, Sörbom D, Wiesel F-A (2004) Factor structure in the Camberwell Assessment of Need. Br J Psychiatry 185:505–510PubMedCrossRef
Metadata
Title
The Camberwell assessment of need as an outcome measure in routine mental health care
Authors
Erik Wennström
Frits-Axel Wiesel
Publication date
01-09-2006
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 9/2006
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0084-9

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