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Comparing needs assessed by staff and by service users: paternalism or partnership in mental health?

Published online by Cambridge University Press:  11 October 2011

Graham Thornicroft  and
Mike Slade
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Extract

This paper examines two questions. Do staff and service users agree when rating the needs of those with severe mental illness? If not, what is the meaning of these differences? To put these questions in context, we shall define needs, examine one particular way in which needs can be measured in a standardised way, using the Camberwell Assessment of Need, and shall discuss three somewhat similar studies which have compared user and staff rated needs.

Type
Research Article
Information
Epidemiology and Psychiatric Sciences , Volume 11 , Issue 3 , September 2002 , pp. 186 - 191
Copyright
Copyright © Cambridge University Press 2002

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References

REFERENCES

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. Psychological Medicine 17,971–981.CrossRefGoogle ScholarPubMed
Bebbington, P. (1992). Assessing the need for psychiatric treatment at the district level: the role of surveys. In Measuring Mental Health Needs (ed. Thornicroft, G., Brewin, C. and Wing, J.). Royal College of Psychiatrists: London.Google Scholar
Hansson, L., Vinding, H.R., 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. Ada Psychiatrica Scandinavica 103, 45–51.CrossRefGoogle ScholarPubMed
Landis, J. & Koch, G. (1977). The measurement of observer agreement for categorical data. Biometrics 33, 159–174.CrossRefGoogle ScholarPubMed
Lasalvia, A., Ruggeri, M., Mazzi, M.A. & Dall'Agnola, R.B. (2000). The perception of needs for care in staff and patients in community-based mental health services, the South Verona Outcome Project 3. Ada Psychiatrica Scandinavica, 102, 366–375.CrossRefGoogle ScholarPubMed
MacCarthy, B., Benson, J. & Brewin, C. (1986). Task motivation and problem appraisal in long-term psychiatric patients. Psychological Medicine 16,431–438.CrossRefGoogle ScholarPubMed
Maslow, A. (1954). Motivation and Personality. Harper and Row: New York.Google Scholar
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. British Journal of Psychiatry 167, 589–595.CrossRefGoogle ScholarPubMed
Sayce, L. (1990). Waiting for Community Care: Implications of Government Policy for 1991. Mind Publications: London.Google Scholar
Slade, M. (1994). Needs Assessment. British Journal of Psychiatry 165, 293–296.Google Scholar
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. Social Psychiatry and Psychiatric Epidemiology 31, 109–113.CrossRefGoogle ScholarPubMed
Slade, M., Phelan, M. & Thornicroft, G. (1998). A comparison of needs assessed by staff and an epidemiologically representative sample of patients with psychosis. Psychological Medicine 28, 543–550.CrossRefGoogle Scholar
Slade, M., Leese, M., Taylor, R. & Thornicroft, G. (1999a). The association between needs and quality of life in an epidemiologically representative sample of people with psychosis. Acta Psychiatrica Scandinavica 100, 149–157.CrossRefGoogle Scholar
Slade, M., Thornicroft, G., Loftus, L., Phelan, M. & Wykes, T. (1999b). Camberwell Assessment of Needs (CAN). Royal College of Psychiatrists. Gaskell: London.Google Scholar
Stevens, A. & Gabbay, J. (1991). Needs assessment needs assessment. Health Trends 23, 20–23.Google ScholarPubMed
Stevens, A. & Raftery, J. (1994). Health Care Needs Assessment. Radcliffe Medical Press: Oxford.Google Scholar
Thornicroft, G., Strathdee, G., Phelan, M., Holloway, F., Wykes, T., Dunn, G., McCrone, P., Leese, M., Johnson, S. & Szmukler, G. (1998). Rationale and design. PRiSM Psychosis Study. British Journal of Psychiatry 173, 363–370.CrossRefGoogle ScholarPubMed
Thornicroft, G., Rose, D., Huxley, P., Dale, G. & Wykes, T. (in press). What are the research priorities of mental health service users? Journal of Mental Health.Google Scholar
UK700 group. (1999). Predictors of quality of life in people with sever mental illness. Study methodology with baseline analysis in the UK700 trial. British Journal of Psychiatry 175,426–432.CrossRefGoogle Scholar