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.

Unmet Needs of Remand Prisoners

1998 ◽  
Vol 38 (3) ◽  
pp. 233-236 ◽  
Author(s):  
Tim Hardie ◽  
Kamaldeep Bhui ◽  
Phillip M Brown ◽  
James P Watson ◽  
Janet M Parrott
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Needs Assessment ◽  
Unmet Needs ◽  
Discharge Planning ◽  
Unmet Need ◽  
Assessment Protocol ◽  
Mental Health Act ◽  
Discharge Plan ◽  
Do So

A needs assessment protocol which examines 11 problem areas was devised. This was administered to 277 prisoners on remand at Brixton Prison. We found high levels of unmet need for housing, treatment of substance abuse and neurotic symptoms. Twenty-nine per cent were transferred to hospital under the provisions of the Mental Health Act and about a third of those at liberty to do so complied with a discharge plan. Diversion and discharge planning can potentially meet the unmet needs of remand prisoners.

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.

Needs for care among the relatives of long-term users of day care: A report from the Camberwell High Contact Survey

1989 ◽  
Vol 19 (3) ◽  
pp. 725-736 ◽  
Author(s):  
B. MacCarthy ◽  
A. Lesage ◽  
C. R. Brewin ◽  
T. S. Brugha ◽  
S. Mangen ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Needs Assessment ◽  
Economic Burden ◽  
Day Care ◽  
Unmet Needs ◽  
Self Care ◽  
Care Facilities ◽  
Low Levels ◽  
Contact Survey

SynopsisWe report the results of a survey of the burdens and needs for items of care of 45 supporters of long-term users of psychiatric day care facilities in Camberwell. The supporters reported high levels of disturbed behaviour and low levels of self-care skills in the attenders. They were also subject to high levels of social and economic burden, not all of which could be attributed to the attenders' problems. The needs assessment identified a large number of unmet needs, although the supporters themselves were largely resigned to their situation and expressed little dissatisfaction with the services they were offered. The advantage of conducting this kind of assessment of supporters' needs as a routine part of clinical practice was discussed.

The problems of people in long-term psychiatric day care; An introduction to the Camberwell High Contact Survey

1988 ◽  
Vol 18 (2) ◽  
pp. 443-456 ◽  
Author(s):  
T. S. Brugha ◽  
J. K. Wing ◽  
C. R. Brewin ◽  
B. MacCarthy ◽  
S. Mangen ◽  
...  
Keyword(s):  
Needs Assessment ◽  
Day Care ◽  
Social Problems ◽  
Assessment Procedure ◽  
Contact Survey ◽  
Hospital Wards

SynopsisThe aims of the Camberwell High Contract Survey (CHCS) were to develop and test a systematic needs assessment procedure and use it to evaluate the services provided to long-term users of day centres and sheltered residential accommodation (excluding hospital wards). This paper describes the background to the study, the sample of 145 attenders and their characteristics, their clinical and social problems and the care provided for them.

Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey

2009 ◽  
Vol 27 (36) ◽  
pp. 6172-6179 ◽  
Author(s):  
Jo Armes ◽  
Maggie Crowe ◽  
Lynne Colbourne ◽  
Helen Morgan ◽  
Trevor Murrells ◽  
...  
Keyword(s):  
Negative Affect ◽  
Supportive Care ◽  
Unmet Needs ◽  
Unmet Need ◽  
Hormone Treatment ◽  
Longitudinal Survey ◽  
Supportive Care Needs ◽  
Fear Of Recurrence ◽  
Care Needs ◽  
Prospective Longitudinal

Purpose To estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need. Patients and Methods A multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1). Results Of 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments. Conclusion Most patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.

scholarly journals Social listening – revealing Parkinson’s disease over day and night

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hui Zhang ◽  
Fanwen Meng ◽  
Xingyu Li ◽  
Yali Ning ◽  
Meng Cai
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Unmet Needs ◽  
Unmet Need ◽  
Motor Symptoms ◽  
Motor Complications ◽  
Sentiment Score ◽  
Negative Sentiment ◽  
Non Motor Symptoms ◽  
Social Listening

Abstract Background Nocturnal symptoms in Parkinson’s disease are often treated after management of daytime manifestations. In order to better understand the unmet needs of nocturnal symptoms management, we analyzed the characteristics and burden of nocturnal symptoms from patients’ perspectives and explored their changes over time. Overall symptoms (occurring at day or night) were collected to compare whether the unmet needs related to nocturnal symptoms and to overall symptoms are different. Methods We used a Social Listening big-data technique to analyze large amounts of Parkinson’s disease symptoms in dialogues available from social media platforms in 2016 to 2018. These symptoms were classified as either overall symptoms or nocturnal symptoms. We used share of voice (SOV) of symptoms as a proportion of total dialogues per year to reflect the characteristics of symptoms. Negative sentiment score of symptoms was analyzed to find out their related burden. Results We found the SOV for overall motor symptoms was 79% and had not increased between 2016 and 2018 (79%, p = 0.5). The SOV for non-motor symptoms was 69% and had grown by 7% in 2018 (p <  0.01). The SOV for motor complications was 9% and had increased by 6% in 2018 (p <  0.01). The SOV of motor symptoms was larger than non-motor symptoms and motor complications (p <  0.01). The SOV of non-motor symptoms was larger than motor complications (p <  0.01). For nocturnal symptoms, 45% of the analyzed PD population reported nocturnal symptoms in 2018, growing by 6% (p <  0.01). The SOV for nocturnal-occurring motor symptoms was higher than most non-motor symptoms. However, non-motor symptoms had the higher increases and evoked higher negative sentiment regardless of whether they occurred during the day or night. For symptoms that can occur at either day or night, each nocturnal symptom was rated with a higher negative sentiment score than the same symptom during the day. Conclusions The growing SOV and the greater negative sentiment of nocturnal symptoms suggest management of nocturnal symptoms is an unmet need of patients. A greater emphasis on detecting and treating nocturnal symptoms with 24-h care is encouraged.

Tooth loss among the elders in an inner city area of Ibadan, Nigeria

Gerodontology ◽  
2017 ◽  
Vol 34 (2) ◽  
pp. 264-271 ◽  
Author(s):  
Olushola Ibiyemi ◽  
Ejiro Idiga
Keyword(s):  
Inner City ◽  
Tooth Loss ◽  
City Area ◽  
Ibadan Nigeria
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