Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey

Brewin, Chris R.; Wing, J. K.; Mangen, S. P.; Brugha, Traolach; MacCarthy, Brigid; Lesage, Alain

doi:10.1017/s0033291700007996

Cited by 104 publications

(51 citation statements)

References 6 publications

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“…This is clearly a more bespoke approach to identifying the resource implications of providing for a client and it incorporates the outcome of clinical judgements. During the 1980s and 1990s a number of studies confirmed both the reliability and validity of this approach (Brewin et al, 1988;Brewin and Wing, 1993;Marshall, 1994) but the very detail that endows the NFCAS with these qualities also makes it cumbersome to use. To ensure reliability judgements about the presence or otherwise of difficulties in each of the twenty-one domains and judgements about the applicability of numerous treatment options all have to be made on the basis of explicit criteria.…”

Section: The Mrc Needs For Care Assessment Schedulementioning

confidence: 99%

Delaying the implementation of Payment by Results in mental health: the application of standardisation

Wang

Shaw

Middleton

2015

Mental Health Review Journal

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. Design/methodology/approach -PbR relies upon "standardisation" of conditions and treatments. This depends upon a scheme of classification that can realistically predict resources required to execute treatment of any one case. Plans to fund NHS mental health services on the basis of tariffs derived in this way have been delayed, and a key reason is the lack of high-quality data. This would require effective "standardisation-to the-average" of both a system of classification and a repertoire of costed treatment pathways. This paper investigated the delay implementation by exploring the difficulties in applying standardisation principles to service provision and tariff calculation.Findings -The paper identified the fundamental difficulty with PbR's implementation in applying "standardisation" to practice. This is defining the mental disorder that the patient is suffering and designing care pathways at clinical level considering the balance between practical applicability and conceptual/constructional validity. This is necessary to enable the calculation of a national tariff. The conceptual flaws of the Health of the Nation Outcome Scale led to the constructional shortcomings which compromised the credibility and validity of Mental Health Clustering Tool regarding making accurate classification in a standardised way. The validity and credibility of calculating a national tariff thus became contentious on the basis of this inaccurate clinical classification system. Originality/value -This paper explored the driving factors of delay in implementing PbR in mental health through connecting the recent reform with the fundamental assumptions of "standardisation-to the-average", which provided another perspective to illustrate the current obstacles.

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Section: The Mrc Needs For Care Assessment Schedulementioning

confidence: 99%

Delaying the implementation of Payment by Results in mental health: the application of standardisation

Wang

Shaw

Middleton

2015

Mental Health Review Journal

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“…19 In the course of the latter study, interrater reliability of the methods was assessed, comparing assessment by 2 independent panels, and found satisfactory for most areas (for example, care for addiction disorders problems). 20 A schedule for service needs had also been developed 21 and adapted for our study.…”

Section: Data Gatheringmentioning

confidence: 99%

Service Use and Unmet Needs in Youth Suicide: A Study of Trajectories

et al. 2014

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Objective: While 90% of suicide victims have suffered from mental health disorders, less than one-half are in contact with a mental health professional in the year preceding their death. Service use in the last year of life of young suicide victims and control subjects was studied in Quebec. We wanted to determine what kinds of health care services were needed and if they were actually received by suicide victims. Method:We recruited 67 consecutive suicide victims and 56 matched living control subjects (aged 25 years and younger). We evaluated subjects' psychopathological profile and determined which services would have been indicated by conducting a needs assessment. We then compared this with what services were actually received.Results: Suicide victims were more likely than living control subjects to have a psychiatric diagnosis. They were most in need of services to address substance use disorder, depression, interpersonal distress, and suicide-related problems. There were significant deficits in the domains of coordination and continuity of care, mental health promotion and training, and governance. Conclusions:Our results show that we need to urgently take action to address these identified deficits to prevent further loss of life in our young people. W W W Utilisation des services et besoins non comblés dans le suicide chez les adolescents : une étude de trajectoiresObjectif : Bien que 90 % des victimes de suicide aient souffert de troubles de santé mentale, moins de la moitié ont été en contact avec un professionnel de la santé mentale dans l'année précédant leur décès. L'utilisation des services dans la dernière année de vie des jeunes victimes de suicide et de sujets témoins a été étudiée au Québec. Nous avons voulu déterminer quels genres de services de soins de santé étaient nécessaires et s'ils ont été reçus en réalité par les victimes de suicide.Méthode : Nous avons recruté 67 victimes consécutives de suicide et 56 sujets témoins appariés et vivants (âgés de 25 ans et moins). Nous avons évalué le profil psychopathologique des sujets et déterminé quels services auraient été indiqués par une évaluation des besoins. Nous avons ensuite comparé ceci avec les services réels qui ont été reçus.

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“…It also prevents the assessment of need merely becoming a response to the most salient problems [4].…”

Section: Discussionmentioning

confidence: 99%

“…Alternatively, need has been defined as a deficit which can, at least in part, be alleviated by some intervention. Scales such as the Camberwell Assessment of Need for the Elderly [3] and the Medical Research Council Needs for Care Schedule [4] have been designed from this point of view. The Camberwell Assessment of Need for the Elderly is based on the consensus of many professionals and has good validity and reliability [3].…”

Section: Introductionmentioning

confidence: 99%

A survey of social services needs assessments for elderly mentally ill people in England and Wales

Martin¹

1999

Age and Ageing

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Objective: to examine variations in the needs assessment policies and practices of social services departments in England and Wales in dealing with elderly people who have mental illness. Design: postal questionnaire survey. Subjects: a random sample of 61 of 119 social services departments in England and Wales. Main outcome measure: 99-item questionnaire. Results: 40 responses were received (66%). There were substantial differences in the way referrals were screened before needs assessment and in the design of needs assessment procedures. Disagreements between health and social services were common and, although mechanisms existed to respond to urgent needs, almost one-third found such responses difficult to make. Conclusions: there are national variations in the way needs assessments are performed by social services, which may lead to inequalities in provision of care to individuals. The lack of a standardized approach impedes comparisons of need between areas which might aid in the distribution of resources at a national level.

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Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey

Cited by 104 publications

References 6 publications

Delaying the implementation of Payment by Results in mental health: the application of standardisation

Delaying the implementation of Payment by Results in mental health: the application of standardisation

Service Use and Unmet Needs in Youth Suicide: A Study of Trajectories

A survey of social services needs assessments for elderly mentally ill people in England and Wales

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