Needs for care from a demand led community psychiatry service : a study of patients with major mental illness.
To measure needs for care of patients aged 18-65 years with major mental illness.
Design-Identification of everyone in one area seen by a health professional within the previous five years because of a psychotic disorder.
Interview of a one in three sample of patients and their main carers with the cardinal needs schedule.
Settina-Hamilton, a socially deprived district of Scotland.
Subjects-71 subjects were interviewed from the original sample of 263 patients.
Main outcome measures- « Cardinal problems » in seven clinical and eight social areas of functioning ; these are defined as problems requiring action. « Needs » - cardinal problems for which suitable interventions exist but have not been tried recently.
High levels of morbidity were found. 30 interviewed patients (42% ; 95% confidence interval 31% to 54%) had one or more clinical needs. 35 (49% ; 38% to 61%) had one or more social needs.
Skills to deal with all but seven needs in the sample were available at the time of investigation.
Patients not being seen by the community mental health team were similar in severity and levels of need to those who were on the community team's caseload.
Care was unequivocally and severely inadequate for four patients.
Shortcomings in service delivery usually arose from failure to monitor some patients at home.
Problems were not due to shortage of acute psychiatric beds nor the absence of an elaborate assertive community care team. (...)
Mots-clés Pascal : Psychose, Névrose, Psychiatre, Système santé, Santé mentale, Ecosse, Grande Bretagne, Royaume Uni, Europe, Traitement, Homme, Psychopathologie
Mots-clés Pascal anglais : Psychosis, Neurosis, Psychiatrist, Health system, Mental health, Scotland, Great Britain, United Kingdom, Europe, Treatment, Human, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0321785
Code Inist : 002B18H05B. Création : 10/04/1997.