The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill

1996 ◽  
Vol 31 (3-4) ◽  
pp. 109-113 ◽  
Author(s):  
M. Slade ◽  
M. Phelan ◽  
G. Thornicroft ◽  
S. Parkman
2005 ◽  
Vol 29 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Hellme Najim ◽  
Paul McCrone

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.


1998 ◽  
Vol 28 (3) ◽  
pp. 543-550 ◽  
Author(s):  
M. SLADE ◽  
M. PHELAN ◽  
G. THORNICROFT

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.


1989 ◽  
Vol 154 (6) ◽  
pp. 775-782 ◽  
Author(s):  
Liz Kuipers ◽  
Brigid MacCarthy ◽  
Jane Hurry ◽  
Rod Harper ◽  
Alain LeSage

A psychosocial intervention is described geared to the needs of carers of the long-term mentally ill, which is feasible for a busy clinical team to implement: relatives were not selected for the group by patient diagnosis or motivation and little extra staff input was required. An interactive education session at home was followed by a monthly relatives group which aimed to reduce components of expressed emotion (EE) and to alleviate burden. The group facilitators adopted a directive but non-judgemental style, and constructive coping efforts were encouraged. The intervention was effective at reducing EE and improving family relationships. The study offers a realistic model of how to offer support to people providing long-term care for the severely mentally ill.


2008 ◽  
Vol 21 (01) ◽  
pp. 94 ◽  
Author(s):  
Lia Fernandes ◽  
Manuel Gonçalves-Pereira ◽  
António Leuschner ◽  
Sónia Martins ◽  
Margarida Sobral ◽  
...  

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