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Assessment of needs for care among patients with schizophrenic disorders 15 and 17 years after first onset of psychosis

Published online by Cambridge University Press:  07 July 2014

Durk Wiersma ,
Fokko J. Nienhuis ,
Cees J. Slooff ,
Robert Giel  and
Aant De Jong
Durk Wiersma
Affiliation:
Department of Social Psychiatry, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
Fokko J. Nienhuis
Affiliation:
Department of Social Psychiatry, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
Cees J. Slooff
Affiliation:
Department of Social Psychiatry, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
Robert Giel
Affiliation:
Department of Social Psychiatry, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
Aant De Jong
Affiliation:
Department of Social Psychiatry, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
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Extract

Severe and long term mental disorders, like schizophrenia, show in general a wide range of psychiatric signs and symptoms, psychological and physiological impairments and social disablement (Shepherd, 1994; Wing, 1982) reflecting a variety of mental health needs. Many studies provide only a cross-sectional view of the clinical and social problems of the patient population, for example at intake or admission to a mental hospital. Longitudinal studies following patients after discharge for some period of months or years show in general the expected improvement of functioning (e.g. Nienhuis et al., 1994), but as far as only chronic patients are concerned such a positive change is much less noted. The concept of chronicity of mental disorders would presume that after some time needs are fairly predictable and stable and do not change much over time. Our investigation on the long-term course of schizophrenia (Wiersma et al., 1996; 1997) enables us to study over a period of two years, from 15 to 17 years since first onset of psychosis, the stability or variability of needs in schizophrenic disorder. We are not aware of empirical studies on changes in needs among patients with long-term disorders.

Type
Section A: Assessing Needs for Mental Health Services
Information
Epidemiologia e psichiatria sociale. Monograph Supplement , Volume 6 , Issue S1: Monograph Supplement 1: Making Rational Mental Health Services , April 1997 , pp. 21 - 28
Copyright
Copyright © Cambridge University Press 1997

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References

Brewin, C.R. (1992). Measuring individual needs for care and services. In Measuring Mental Health Needs (ed. Thornicroft, G., Brewin, C.R. and Wing, J.K.). Royal College of Psychiatrist: London.Google Scholar
Brewin, C.R. & Wing, J.K. (1989). Manual of the MRC Needs for Care Assessment, Memo. MRC Social Psychiatry Unit: London.Google Scholar
Brewin, C.R., Wing, J.K., Mangen, S.P., Brugha, T.S. & MacCarthy, B. (1987). Principles and practice of measuring needs in the long-term mentally ill: the MRC Needs for Care Assessment. Psychological Medicine 17, 971–981.Google Scholar
Carpenter, W.T. & Straus, J. (1991). The prediction of outcome in schizophrenia. IV. Eleven year follow-up of the Washington IPSS cohort. Journal of Nervous and Mental Diseases 179, 517–525.CrossRefGoogle ScholarPubMed
Eaton, W.W., Bilker, W., Har, J.M., Herrman, H. & Burgess, P. (1992). Long-term course of hospitalisation for schizophrenia: Part II. Change with passage of time. Schizophrenia Bulletin 18, 229–241.Google Scholar
Holloway, F. (1991). Day care in an inner city. Quality of the services. British Journal of Psychiatry 158, 810–816.Google Scholar
Jablensky, A.Schwarz, R. & Tomov, T. (1980). WHO Collaborative Study on impairments and disabilities associated with schizophrenic disorders. Acta Psychiatrica Scandinavica, Supplementum No. 285, 152–159.Google Scholar
Jablensky, A., Sartorius, N., Ernberg, G., Anker, M., Korten, A., Cooper, J.E., Day, R. & Bertelsen, A. (1992). Schizophrenia: Manifestations, Incidence and Course in Different Cultures. A World Health 10 Country Study. Psychological Medicine Monograph Supplement 190, pp. 20–97.Google Scholar
Kovess, V. & Caria, A. (1995). Etude Europeenne Multicentrique sur l'Évaluation des Soins Psychiatriques de Patients Schizophrenes. Rapport Final. Reseau National de Santé Publique: Paris.Google Scholar
Lesage, A.D., Mignolli, G., Faccincani, C. & Tansella, M. (1991). Standardized assessment of the needs for care in a cohort of patients with schizophrenic psychoses. In Community-based Psychiatry: Long-term Patterns of Care in South-Verona. Psychological Medicine Monograph Supplement 19 (ed. Tansella, M.), pp. 27–33. Cambridge University Press: Cambridge.Google Scholar
Netten, A. & Beecham, J. (1993). Costing Community Care. Ashgate: Aldershot.Google Scholar
Nienhuis, F.J., Giel, R., Kluiter, H., Rüphan, M. & Wiersma, D. (1994). Efficacy of psychiatric day-treatment. Course and outcome of psychiatric disorders in a randomized trial. European Archives of Psychiatry and Clinical Neuroscience 244, 73–80.Google Scholar
Sartorius, N., Jablensky, A., Ernberg, G., Leff, J., Korten, A. & Gulbinat, W. (1987). Course of schizophrenia in different countries: some results of a WHO International 5-year follow-up study. In Search for the Causes of Schizophrenia (ed. Häfner, H., Gattaz, W.F. and Janzarik, W.), pp. 107–113. Springer: Berlin.Google Scholar
Shepherd, G. (1994). Institutional Care and Rehabilitation. Longman: London.Google Scholar
Shepherd, M., Watt, D., Falloon, I.R.H. & Smeeton, N. (1989). The Natural History of Schizophrenia: a 5-year Follow-up Study of Outcome and Prediction in a Representative Sample of Schizophrenia. Cambridge University Press: Cambridge.Google Scholar
Stevens, A. & Gabbay, J. (1991). Needs assessment needs assessment. Health Trends 23, 20–23.Google Scholar
Thornicroft, G. & Tansella, M. (ed.) (1996). Mental Health Outcome Measures. Springer: Berlin.Google Scholar
Thornicroft, G., Brewin, C.R. & Wing, J.K. (ed.) (1992). Measuring Mental Health Needs. Royal College of Psychiatrists: London.Google Scholar
van Haaster, I., Lesage, A.D., Cyr, M. & Toupin, J. (1994). Further reliability and validity studies of a procedure to assess the needs for care of the chronically mentally ill. Psychological Medicine 24, 215–222.Google Scholar
Wiersma, D., De Jong, A. & Ormel, J. (1988). The Groningen Social Disabilities Schedule: development, relationship with the ICIDH and psychometric properties. International Journal of Rehabilitation Research 3, 213–224.CrossRefGoogle Scholar
Wiersma, D., Giel, R., De Jong, A., Nienhuis, F.J. & Slooff, C.J. (1996). Assessment of the need for care 15 years after onset of a Dutch cohort with schizophrenia, and an international comparison. Social Psychiatry and Psychiatric Epidemiology 31, 114–121.Google Scholar
Wiersma, D., Nienhuis, F.J., Slooff, C.J., Giel, R. & De Jong, A. (1997). Natural course of schizophrenic disorders. A 15-years follow-up of a Dutch incidence cohort. Schizophrenia Bulletin (in press).Google Scholar
Wing, J.K. (ed.) (1982). Long-term Community Care: Experience in a London Borough. Psychological Medicine Monograph Supplement 2. Cambridge University Press: Cambridge.Google Scholar
World Health Organization (1992). Schedules for Clinical Assessment in Neuropsychiatry (SCAN). WHO: Geneva.Google Scholar