Staff and patient assessments of need in an epidemiologically representative sample of patients with psychosis

Macpherson, Rob; Varah, Mark; Summerfield, Louise; Foy, Chris; Slade, Mike

doi:10.1007/s00127-003-0669-5

Cited by 46 publications

(45 citation statements)

References 12 publications

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“…The present study confirms that significant discrepancies between staff and patient perceptions of needs do exist [7][8][9][10][11]. Intimate relationships, company, sexual expression and psychological distress were the CAN areas presenting the poorest staff-patient agreement.…”

Section: Comparing Staff and Patient Perceptions Of Needsupporting

confidence: 67%

“…Previous research compared staff members' and patients' need perceptions [7][8][9][10][11]. Other studies conversely examined patients' and family members' perceptions [13], and only a few studies have compared the views of patients, staff and family members of needs for care [12,14,34,35].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Previous studies [7][8][9][10][11] report that need perception differs considerably between professionals and patients and that disagreement between staff and patients frequently occurs on unmet needs. Whilst most of the studies have compared patient and staff perception of needs, only two studies have done so with patients and their caregivers [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Multiple perspectives on mental health outcome: needs for care and service satisfaction assessed by staff, patients and family members

Lasalvia

Boggian²,

Bonetto

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

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Section: Comparing Staff and Patient Perceptions Of Needsupporting

confidence: 67%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multiple perspectives on mental health outcome: needs for care and service satisfaction assessed by staff, patients and family members

Lasalvia

Boggian²,

Bonetto

et al. 2011

Soc Psychiatry Psychiatr Epidemiol

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“…Because scores can differ substantially between patients and professionals, it is important to consider whose perspective is reported when needs are discussed (Slade et al 1996(Slade et al , 1998Issakidis & Teesson, 1999 ;Priebe et al 1999a ;Lasalvia et al 2000 ;Hansson et al 2001 ;Macpherson et al 2003 ;Wennströ m & Wiesel, 2006 ;Wiersma, 2006). Validity and reliability were previously established in several studies and deemed acceptable (Phelan et al 1995).…”

Section: Methodsmentioning

confidence: 99%

Unmet needs in patients with first-episode schizophrenia: a longitudinal perspective

et al. 2011

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Background. This study aimed to identify the course of unmet needs by patients with a first episode of schizophrenia and to determine associated variables.Method. We investigated baseline assessments in the European First Episode Schizophrenia Trial (EUFEST) and also follow-up interviews at 6 and 12 months. Latent class growth analysis was used to identify patient groups based on individual differences in the development of unmet needs. Multinomial logistic regression determined the predictors of group membership.Results. Four classes were identified. Three differed in their baseline levels of unmet needs whereas the fourth had a marked decrease in such needs. Main predictors of class membership were prognosis and depression at baseline, and the quality of life and psychosocial intervention at follow-up. Depression at follow-up did not vary among classes.Conclusions. We identified subtypes of patients with different courses of unmet needs. Prognosis of clinical improvement was a better predictor for the decline in unmet needs than was psychopathology. Needs concerning social relationships were particularly persistent in patients who remained high in their unmet needs and who lacked additional psychosocial treatment.

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“…Several studies have compared the views of professionals, clients, and the general public on various issues relating to psychosis: for example experiences of violence in psychiatric care (Omérov & Wistedt, 2004), and perceptions of the needs of patients (Macpherson & Lerescu, 2008;Macpherson & Slade, 2003) and of carers (Askey & Gray, 2009); also perspectives on early psychosis services (Langlands & Kitchener, 2008) and recovery (Noiseux et al, 2010). …”

Section: The Professional's Inner Dialoguementioning

confidence: 99%

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

Borchers¹,

Seikkula

Arnkil

2014

Ethical Hum Psychol Psychiatry

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This research aimed to describe the inner dialogues of psychiatrists in the context of the Need-Adapted treatment of psychosis. It strived to show that the experiences of professionals can have an impact on the treatments offered. In addition, the research aimed to clarify how the phenomenon of professionals' inner dialogues may be studied.The data for the three studies of the research consisted of eight videotaped and transcribed stimulated recall interviews with psychiatrists, who recalled their inner dialogues, assisted by videos from co-research interviews. The dialogues took place in multi-agent discussions with patients, with the family members of patients, and with other professionals. The first study provided an overall picture of the research material, with a focus on psychiatrists' inner dialogues concerning their workmates. The second study focused on how the psychiatrists viewed their agency. The third study dealt with the impact of psychosis on the treatment, the psychiatrists, and other professionals. The first two studies used adaptations of dialogical-narrative analysis, while the third study used an adaptation of qualitative content analysis.From the perspective of real-world clinical practice the studies suggested the following: (i) since psychiatrists interact with the clients and with other professionals, they respond as embodied individual human beings with possibly strong emotions; this suggests that the experiences and inner dialogues of the participants may be interdependent; (ii) clinician-clinician relationships can be of crucial importance in the treatment; (iii) especially in the inpatient setting, institutional forces can have an enormous impact on psychiatrists' agency by reducing professional creativity, and occasionally, by leading to a kind of agentless situation; (iv) psychiatrists seem to be more or less aware of the many harmful effects of (in particular) inpatient treatment; (v) the interview methods used in the research increased professionals' reflective opportunities, indicating that such interviews could be helpful in the dilemmas professionals encounter in practice. Tämän tutkimuksen tavoite oli kuvata psykiatrien sisäistä keskustelua psykoosien tarpeenmukaisen hoitomallin kontekstissa. Se pyrki osoittamaan, että ammattilaisten kokemuksilla voi olla vaikutusta tarjottuun hoitoon, ja selvittä-mään, miten ammattilaisten sisäistä keskustelua voidaan tutkia. Kolmen osatutkimuksen aineisto koostui kahdeksasta videolle tallennetusta ja transkriptoidusta stimulated recall -haastattelusta, joissa psykiatrit yhteisen tutkimisen haastattelun kuvanauhan avulla palauttivat mieleensä sisäistä keskusteluaan. Yhteisen tutkimisen haastattelu oli ryhmäkeskustelu, jossa oli lääkärien ohella läsnä potilas, hänen perheenjäseniään sekä muita ammattilaisia. Ensimmäisessä osatutkimuksessa kuvattiin tutkimusaineistoa kokonaisuudessaan ja keskityttiin psykiatrien työtovereita koskevaan sisäiseen keskusteluun. Toisessa osatutkimuksessa paneuduttiin psykiatrien kokemukseen toimijuudestaan....

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Staff and patient assessments of need in an epidemiologically representative sample of patients with psychosis

Cited by 46 publications

References 12 publications

Multiple perspectives on mental health outcome: needs for care and service satisfaction assessed by staff, patients and family members

Multiple perspectives on mental health outcome: needs for care and service satisfaction assessed by staff, patients and family members

Unmet needs in patients with first-episode schizophrenia: a longitudinal perspective

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

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