The Nordic Study on schizophrenic patients living in the community. Subjective needs and perceived help

2.50
Hdl Handle:
http://hdl.handle.net/2336/33534
Title:
The Nordic Study on schizophrenic patients living in the community. Subjective needs and perceived help
Authors:
Middelboe, T; Mackeprang, T; Hansson, L; Werdelin, G; Karlsson, H; Bjarnason, O; Bengtsson-Tops, A; Dybbro, J; Nilsson, LL; Sandlund, M; Sörgaard, KW
Citation:
Eur. Psychiatry 2001, 16(4):207-14
Issue Date:
1-Jun-2001
Abstract:
In a community sample of 418 persons diagnosed with schizophrenia, subjective needs and perceived help was measured by the Camberwell Assessment of Need (CAN). The mean number of reported needs was 6.2 and the mean number of unmet needs 2.6. The prevalence of needs varied substantially between the need areas from 3.6% ('telephone') to 84.0% ('psychotic symptoms'). The rate of satisfaction estimated as the percentage of persons satisfied with the help provided within an area varied between 20.0% ('telephone') and 80.6% ('food').The need areas concerning social and interpersonal functioning demonstrated the highest proportion of unmet to total needs.In a majority of need areas the patients received more help from services than from relatives, but in the areas of social relations the informal network provided substantial help. In general the patients reported a need for help from services clearly exceeding the actual amount of help received.In a linear regression model symptom load (BPRS) and impaired functioning (GAF) were significant predictors of the need status, explaining 30% of the variance in total needs and 20% of the variance in unmet needs.It is concluded that the mental health system fails to detect and alleviate needs in several areas of major importance to schizophrenic patients. Enhanced collaboration between the care system and the informal network to systematically map the need profile of the patients seems necessary to minimise the gap between perceived needs and received help.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.sciencedirect.com/science/article/B6VM1-438KCTM-2/1/0450958e47bcf03b71712c053cb477d1

Full metadata record

DC FieldValue Language
dc.contributor.authorMiddelboe, T-
dc.contributor.authorMackeprang, T-
dc.contributor.authorHansson, L-
dc.contributor.authorWerdelin, G-
dc.contributor.authorKarlsson, H-
dc.contributor.authorBjarnason, O-
dc.contributor.authorBengtsson-Tops, A-
dc.contributor.authorDybbro, J-
dc.contributor.authorNilsson, LL-
dc.contributor.authorSandlund, M-
dc.contributor.authorSörgaard, KW-
dc.date.accessioned2008-07-29T09:32:52Z-
dc.date.available2008-07-29T09:32:52Z-
dc.date.issued2001-06-01-
dc.date.submitted2008-07-29-
dc.identifier.citationEur. Psychiatry 2001, 16(4):207-14en
dc.identifier.issn0924-9338-
dc.identifier.pmid11418270-
dc.identifier.doi10.1016/S0924-9338(01)00566-1-
dc.identifier.urihttp://hdl.handle.net/2336/33534-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractIn a community sample of 418 persons diagnosed with schizophrenia, subjective needs and perceived help was measured by the Camberwell Assessment of Need (CAN). The mean number of reported needs was 6.2 and the mean number of unmet needs 2.6. The prevalence of needs varied substantially between the need areas from 3.6% ('telephone') to 84.0% ('psychotic symptoms'). The rate of satisfaction estimated as the percentage of persons satisfied with the help provided within an area varied between 20.0% ('telephone') and 80.6% ('food').The need areas concerning social and interpersonal functioning demonstrated the highest proportion of unmet to total needs.In a majority of need areas the patients received more help from services than from relatives, but in the areas of social relations the informal network provided substantial help. In general the patients reported a need for help from services clearly exceeding the actual amount of help received.In a linear regression model symptom load (BPRS) and impaired functioning (GAF) were significant predictors of the need status, explaining 30% of the variance in total needs and 20% of the variance in unmet needs.It is concluded that the mental health system fails to detect and alleviate needs in several areas of major importance to schizophrenic patients. Enhanced collaboration between the care system and the informal network to systematically map the need profile of the patients seems necessary to minimise the gap between perceived needs and received help.en
dc.language.isoenen
dc.publisherEditions scientifiques Elsevieren
dc.relation.urlhttp://www.sciencedirect.com/science/article/B6VM1-438KCTM-2/1/0450958e47bcf03b71712c053cb477d1en
dc.subject.meshActivities of Daily Livingen
dc.subject.meshAdulten
dc.subject.meshCaregiversen
dc.subject.meshFemaleen
dc.subject.meshFinlanden
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshNeeds Assessmenten
dc.subject.meshPatient Care Teamen
dc.subject.meshPatient Satisfactionen
dc.subject.meshPsychiatric Status Rating Scalesen
dc.subject.meshScandinaviaen
dc.subject.meshSchizophreniaen
dc.subject.meshSchizophrenic Psychologyen
dc.subject.meshSocial Adjustmenten
dc.subject.meshSocial Supporten
dc.titleThe Nordic Study on schizophrenic patients living in the community. Subjective needs and perceived helpen
dc.typeArticleen
dc.contributor.departmentCommunity Mental Health Center, Bispebjerg University Hospital, Copenhagen, Denmark. t.middleboe@dadlnet.dken
dc.identifier.journalEuropean psychiatry : the journal of the Association of European Psychiatristsen

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