scholarly journals The Camberwell Assessment of Need: comparison of assessments by staff and patients in an inner-city and a semi-rural community area

2005 ◽  
Vol 29 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Hellme Najim ◽  
Paul McCrone
Keyword(s):  
Inner City ◽  
Mentally Ill ◽  
Unmet Needs ◽  
Rural Setting ◽  
Service Users ◽  
City Area ◽  
Severely Mentally Ill ◽  
Camberwell Assessment Of Need ◽  
Community Area ◽  
Assessment Of Need

Aims and MethodThe aim of the study was to examine the association between the assessment of need by staff and by severely mentally ill patients using the Camberwell Assessment of Need in a semi-rural setting (Maidstone, n=50) and an inner-city area (Camberwell, n=127). Staff and patients were interviewed separately. We specifically examined differences in the total number of needs between Camberwell and Maidstone, differences in the number of unmet needs and differences in the level of agreement between staff and service users.ResultsPatients in Maidstone had fewer needs than those in Camberwell according to both staff (4.9 v. 5.8) and patients (4.2 v. 6.3), fewer unmet needs rated (staff, 1.1 v. 1.5; patients, 1.0 v. 1.9) and a greater level of concordance between staff and patients.Clinical ImplicationsThe needs of severely mentally ill patients were greater in the inner-city area compared with the semi-rural one. The fact that agreement between staff and service users was less in the inner-city area also suggests that more stable staff–patient relationships existed in the rural area.

A comparison of needs assessed by staff and by an epidemiologically representative sample of patients with psychosis

1998 ◽  
Vol 28 (3) ◽  
pp. 543-550 ◽  
Author(s):  
M. SLADE ◽  
M. PHELAN ◽  
G. THORNICROFT
Keyword(s):  
Representative Sample ◽  
Psychotic Disorders ◽  
Unmet Needs ◽  
Psychiatric Service ◽  
Patient Rating ◽  
Severely Mentally Ill ◽  
Icd 10 ◽  
Camberwell Assessment Of Need ◽  
Met Needs ◽  
Assessment Of Need

Background. Staff and severely mentally ill patients differ in their assessments of need. This study compares staff and patient assessments of need for people suffering from psychotic disorders.Method. The needs of an epidemiologically representative sample of 137 patients from a catchment area psychiatric service in South London who had an ICD-10 diagnosis of a functional psychotic disorder were assessed cross-sectionally by patients and staff, using the Camberwell Assessment of Need.Results. Staff rated patients to have on average 6·1 needs, and patients rated 6·7 needs (t=2·58, df=136, P=0·011). This difference was accounted for by the staff rating of 1·2 unmet needs and the patient rating of 1·8 unmet needs (t=3·58, df=136, P<0·001). There was no difference in rating of total number of met needs. There was no difference in ratings in relation to any patient sociodemographic characteristics. There was moderate or better agreement on the presence of a need for 13 of the 22 domains in the Camberwell Assessment of Need.Conclusions. Staff and patients moderately agree about met needs, but agree less often on unmet needs.

Satisfaction with community and hospital-based emergency services amongst severely mentally ill service users

2006 ◽  
Vol 41 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Mirella Ruggeri ◽  
Giovanni Salvi ◽  
Verena Perwanger ◽  
Michael Phelan ◽  
Nadia Pellegrini ◽  
...  
Keyword(s):  
Mentally Ill ◽  
Emergency Services ◽  
Service Users ◽  
Severely Mentally Ill

Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell Assessment of Need for the Elderly (CANE) – a pilot study

2013 ◽  
Vol 26 (2) ◽  
pp. 285-295 ◽  
Author(s):  
Janine Stein ◽  
Melanie Luppa ◽  
Hans-Helmut König ◽  
Steffi G. Riedel-Heller
Keyword(s):  
Elderly Population ◽  
Unmet Needs ◽  
Oldest Old ◽  
The Elderly ◽  
German Version ◽  
Healthcare Needs ◽  
Study Results ◽  
Health And Social Care ◽  
Camberwell Assessment Of Need ◽  
Assessment Of Need

ABSTRACTBackground:The current demographic and social developments in our society will lead to a significant increase in treatment and healthcare needs in the future, particularly in the elderly population. The Camberwell Assessment of Need for the Elderly (CANE) was developed in the United Kingdom to measure physical-, psychological-, and environment-related treatment as well as healthcare needs of older people in order to identify their unmet needs. So far, the German version of the CANE has not been established in health services research. Major reasons for this are a lack of publications of CANE's German version and the missing validation of the instrument.Methods:The aims of the present study were to evaluate the currently available German version of the CANE in a sample of older primary care patients. Descriptive statistics and inference-statistical analyses were calculated.Results:Patients reported unmet needs mostly in CANE's following sections: mobility/falls, physical health, continence, company, and intimate relationships. Agreement level between patients’ and relatives’ ratings in CANE was moderate to low. Evidence for the construct validity of CANE was found in terms of significant associations between CANE and other instruments or scores.Conclusions:The study results provide an important basis for studies aiming at the assessment of met and unmet needs in the elderly population. Using the German version of the CANE may substantially contribute to an effective and good-quality health and social care as well as an appropriate allocation of healthcare resources in the elderly population.

Day Care in an Inner City

1991 ◽  
Vol 158 (6) ◽  
pp. 810-816 ◽  
Author(s):  
Frank Holloway
Keyword(s):  
Inner City ◽  
Needs Assessment ◽  
Day Care ◽  
Social Problems ◽  
Unmet Needs ◽  
Unmet Need ◽  
Assessment Technique ◽  
City Area

Seven units providing psychiatric day care to residents of an inner-city area were surveyed. The extent to which the clinical and special problems of attenders were adequately managed by the services was measured using a ‘needs-assessment’ technique. Units differed in the proportion of clinical and social problems that were rated as ‘unmet needs', although the extent of ‘unmet need’ was not clearly related to the morbidity of attenders at a unit or the available staffing.

Substance misuse and risk of aggression and offending among the severely mentally ill

1998 ◽  
Vol 172 (4) ◽  
pp. 345-350 ◽  
Author(s):  
Helen Scott ◽  
Sonia Johnson ◽  
Paulo Menezes ◽  
Jonathan Bindman ◽  
Graham Thornicroft ◽  
...  
Keyword(s):  
Substance Use ◽  
Inner City ◽  
Dual Diagnosis ◽  
Mentally Ill ◽  
Substance Misuse ◽  
Community Treatment ◽  
Dually Diagnosed ◽  
Psychotic Illness ◽  
Severely Mentally Ill ◽  
History Of

BackgroundThe aim of this study was to investigate whether ‘dual diagnosis' (substance misuse and severe mental illness) is associated with aggression and offending.MethodTwenty-seven people meeting the criteria for both psychotic illness and a substance use disorder and 65 people with psychosis only were interviewed. Case notes were also examined and key workers asked to rate substance misuse and aggression.ResultsThe severity of aggression and offending among this community treatment sample was low. Individuals with a dual diagnosis were significantly more likely than those with psychosis only to report any history of committing an offence (P=0.001), or recent hostile behaviour (P=0.001). Keyworkers were more likely to report recent aggression among the dually diagnosed (P=0.01). Significant differences persisted when we used logistic regression to control for potentially confounding demographic and clinical variables.ConclusionsDual diagnosis may be an important factor in aggression and offending among severely mentally ill individuals in inner-city areas. Accurate risk assessment requires examination of substance use.

The Prevalence of Schizophrenia in a Refuge for Homeless Men

1985 ◽  
Vol 19 (3) ◽  
pp. 233-238 ◽  
Author(s):  
C. P. Doutney ◽  
N. Buhrich ◽  
A. Virgona ◽  
A. Cohen ◽  
P. Daniels
Keyword(s):  
Mental Illness ◽  
Inner City ◽  
Mentally Ill ◽  
Chronic Mental Illness ◽  
City Area ◽  
Recent Increase ◽  
Homeless Men

The prevalence of schizophrenia in a large hostel for homeless men in an inner city area was found to be in the order of 15%. Concern is expressed that this figure represents a recent increase in the number of mentally ill among homeless men and may be related to changes in the management of chronic mental illness. Literature relating mental illness and homelessness is reviewed.

The use of the Camberwell Assessment of Need in treatment: what unmet needs can be met?

2007 ◽  
Vol 43 (5) ◽  
pp. 410-417 ◽  
Author(s):  
Marjan Drukker ◽  
Kim van Dillen ◽  
Maarten Bak ◽  
Ron Mengelers ◽  
Jim van Os ◽  
...  
Keyword(s):  
Unmet Needs ◽  
Camberwell Assessment Of Need ◽  
Assessment Of Need
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