scholarly journals Individual unmet needs for care: are they sensitive as outcome criterion for the effectiveness of mental health services interventions?

2008 ◽  
Vol 44 (4) ◽  
pp. 317-324 ◽  
Author(s):  
Durk Wiersma ◽  
Rob van den Brink ◽  
Kerstin Wolters ◽  
Rosemarie McCabe ◽  
Jens Bullenkamp ◽  
...  

2008 ◽  
Vol 42 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Elizabeth Broadbent ◽  
Robert Kydd ◽  
Deanna Sanders ◽  
Jane Vanderpyl


2007 ◽  
Vol 44 (1) ◽  
pp. 57-74 ◽  
Author(s):  
Concepción Barrio ◽  
Lawrence A. Palinkas ◽  
Ann-Marie Yamada ◽  
Dahlia Fuentes ◽  
Viviana Criado ◽  
...  


2000 ◽  
Vol 9 (3) ◽  
pp. 190-213 ◽  
Author(s):  
Antonio Lasalvia ◽  
Benedetta Stefani ◽  
Mirella Ruggeri

SummaryObjective – In Italy, mental health care is in phase of reorganisation. In this frame the measurement of users' needs may be a useftil tool in planning individualised mental health service interventions and in their evaluation. Aims of the present study are (I) to highlight the basic concepts of 'needs for care' and give a brief description of the main needs assessment tools specifically developed for psychiatric patients; (II) to review studies assessing needs for mental health services in the general population; (III) to discuss the role played by the assessment of needs in planning mental health care. Methods – Studies published in the international literature from January 1980 to June 1999 were reviewed. The studies were located through a computerised search of the databases MEDLINE and PsycLit; in addition, the reference lists of the studies located through the computerised search and the content of main international psychiatric journals were manually scanned in order to avoid possible omissions. Studies assessing needs for services and studies assessing needs on individual level were separately reviewed. Both groups of studies, in turn, were divided in studies assessing needs for mental health care in the general population and in psychiatric patients. Results – Although most studies on needs for services used indirect methodologies and employed quite heterogeneous experimental design, they provide at large overlapping results. In the general population, about 60%- 70% of patients with anxiety, depression and other neurotic disorders and 30%-40% of psychotic patients do not receive any specialist mental health care, suggesting that the majority of subjects suffering from a psychiatric disorder do not receive the mental health care they need. Conclusions – Unmet needs for services show a higher frequency in patients with neurotic and depressive disorders, indicating a shortage in services delivery that should be taken into account both by psychiatrists and mental health planners. Moreover, the finding that a large number of patients suffering from psychotic disorders do not receive any kind of mental health care is of particular relevance for planning mental health services, since these subjects are usually the most problematic and difficult to treat.



2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
M. Xavier ◽  
C. Marques ◽  
Á. Carvalho ◽  
P. Mateus


2014 ◽  
Vol 25 (1) ◽  
pp. 425-436 ◽  
Author(s):  
Emily Jones ◽  
Lydie A. Lebrun-Harris ◽  
Alek Sripipatana ◽  
Quyen Ngo-Metzger


2014 ◽  
Vol 23 (3) ◽  
pp. 289-303 ◽  
Author(s):  
Simon Mack ◽  
Frank Jacobi ◽  
Anja Gerschler ◽  
Jens Strehle ◽  
Michael Höfler ◽  
...  


2000 ◽  
Vol 51 (8) ◽  
pp. 1045-1047 ◽  
Author(s):  
Douglas K. Novins ◽  
Janette Beals ◽  
William H. Sack ◽  
Spero M. Manson


2018 ◽  
Vol 63 (4) ◽  
pp. 216-222 ◽  
Author(s):  
Ashok Malla ◽  
Jai Shah ◽  
Srividya Iyer ◽  
Patricia Boksa ◽  
Ridha Joober ◽  
...  

In this article we have provided a perspective on the importance and value of youth mental health services for society and argued that advancing youth mental health services should be the number one priority of health services in Canada. Using the age period of 12–25 years for defining youth, we have provided justification for our position based on scientific evidence derived from clinical, epidemiological and neurodevelopmental studies. We have highlighted the early onset of most mental disorders and substance abuse as well as their persistence into later adulthood, the long delays experienced by most help seekers and the consequence of such delays for young people and for society in general. We have also provided a brief review of the current gross inadequacies in access and quality of care available in Canada. We have argued for the need for a different conceptual framework of youth mental disorders as well as for a transformation of the way services are provided in order not only to reduce the unmet needs but also to allow a more meaningful exploration of the nature of such problems presenting in youth and the best way to treat them. We have offered some ideas based on previous work completed in this field as well as current initiatives in Canada and elsewhere. Any transformation of youth mental health services in Canada must take into consideration the significant geographic, cultural and political diversity across the provinces, territories and indigenous peoples across this country.



2000 ◽  
Vol 102 (5) ◽  
pp. 366-375 ◽  
Author(s):  
Antonio Lasalvia ◽  
Mirella Ruggeri ◽  
Maria Angela Mazzi ◽  
Rosa Bruna Dall'Agnola


2006 ◽  
Vol 30 (9) ◽  
pp. 324-326 ◽  
Author(s):  
Caroline Meiser-Stedman ◽  
Louise Howard ◽  
Penny Cutting

Aims and MethodTo investigate the effectiveness of the Women's Service crisis house in Croydon we performed an observational study prospectively measuring functioning, symptom severity and unmet needs before and after admission. Use of mainstream mental health services was also measured.ResultsWomen using the service had high use of mainstream mental health services, with 137 out of 269 (51%) requiring admission to a mainstream acute ward in the 4 years studied. The service was effective with an improvement in Global Assessment of Functioning scores from a median of 48 on admission to 67 on discharge (P<0.001).Clinical ImplicationsThe women's crisis house was effective in providing for women who required high levels of mainstream mental health services, suggesting that it provides a valuable alternative to standard in-patient care.



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