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Needs assessed by psychiatric health care and social services in a defined cohort of clients with mental disabilities
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, Ulleråker, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, Ulleråker, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, Ulleråker, University Hospital.
2005 (English)In: European Archives of Psychiatry and Clinical Neuroscience, ISSN 0940-1334, E-ISSN 1433-8491, Vol. 255, no 1, 57-64 p.Article in journal (Refereed) Published
Abstract [en]

Background The identification of needs forsupport and service in clients with long-term mentaldisabilities is usually not done by staff personnel fromboth psychiatric care and social services.However, sucha process is probably necessary in order to provide adequatepsychiatric care and social services. Aims To estimatethe prevalence of mentally disabled clients and investigatewhether staff from psychiatric care and socialservices identified the same individuals and the samenumber of needs in the same areas. Methods Clientsfrom a defined catchment area were identified during athree-month period. A questionnaire was developed tocollect socio-demographic information and to assessneeds for support and service. Results The study identified1,290 clients with needs with a prevalence of5.72/1000 inhabitants. More than half of the clientsneeded support in activities of daily living. Only 18.1%of the clients were identified by both organizations. Ingeneral, the staff from psychiatric care and social servicesidentified the same needs at a group level. However,at the individual level, agreement was quite low.Conclusions The staffs from both psychiatric care andsocial services are necessary to evaluate the needs ofsupport and services in clients with mental disabilities.

Place, publisher, year, edition, pages
2005. Vol. 255, no 1, 57-64 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-92770DOI: 10.1007/s00406-004-0537-7OAI: oai:DiVA.org:uu-92770DiVA: diva2:165963
Available from: 2005-03-30 Created: 2005-03-30 Last updated: 2016-01-20
In thesis
1. Needs of Support and Service in Mentally Disabled Clients: Population-Based Studies in a Swedish County
Open this publication in new window or tab >>Needs of Support and Service in Mentally Disabled Clients: Population-Based Studies in a Swedish County
2005 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of the present thesis is to investigate needs of support and service in clients with long-term mental disabilities living in the community. A further aim is to study changes in these client needs during a 3.5-year follow-up.

A questionnaire, The Need of Support and Service Questionnaire (NSSQ), was developed to provide staffs in psychiatric care and social services with a brief instrument to assess how their clients live in the community and to identify their needs.

The results are based on 1,759 clients. The prevalence of clients in urban and rural areas was 6.4/1,000 and 4.5/1,000 inhabitants, respectively. The clients living in the urban setting were more frequently male, older, with a diagnosis of schizophrenia and needed more support in activities of daily living than rural clients.

Clients identified by staff in psychiatric care only were more often living with a partner, with children living at home and more often had a rehabilitation allowance than clients identified by social services staff. In clients assessed by both organizations similar needs at a group level were identified. However, agreements were lower at the individual level.

Although clients reported fewer needs than staff in psychiatric care, the reported needs were in the same areas.

A majority of the clients with unmet needs of service at baseline had their needs met at the 3.5-year follow-up. New unmet needs were also identified at the follow-up, however. The results demonstrate less improvement in clients with schizophrenia as compared with non-schizophrenic clients.

In conclusion, needs of support and service present a dynamic process and both psychiatric care and social services should critically evaluate assessments of these needs.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2005. 56 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 21
Keyword
Psychiatry, Needs assessment, Questionnaires, Epidemiology, Schizophrenia, Community Mental Health Services, Psykiatri
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-4841 (URN)91-554-6184-0 (ISBN)
Public defence
2005-04-21, Gunnesalen, Höghuset, Ulleråker, Emmy Rappes väg 10, Uppsala, 09:15
Opponent
Supervisors
Available from: 2005-03-30 Created: 2005-03-30Bibliographically approved

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Sonnander, Karin
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