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The needs of older people with mental health problems according to the user, the carer, and the staff
Author(s)Geraldine A Hancock, Tom Reynolds, Bob Woods
Journal titleInternational Journal of Geriatric Psychiatry, vol 18, no 9, September 2003
Pagespp 803-811
KeywordsMental disorder ; Needs [elderly] ; Evaluation ; Attitude ; Medical care ; Informal care ; Psychiatrists ; Social surveys.
Annotation101 people identified from various mental health services in the UK and abroad, and 87 users, 57 carers and 95 staff were interviewed using the Camberwell Assessment of Need for the Elderly (CANE), to identify met and unmet needs. Users identified significantly fewer of their needs (5.5) than either staff (8.1) or carers (8.3) did, but this difference was accounted for by people with dementia reporting fewer needs. Users identified fewer psychological or social needs (e.g. daytime activities, company, or carer distress) than staff otherwise did. The authors conclude that user perspectives should be given a high priority, when assessing individual needs. Fears that assessment of need would be unduly time-consuming or would simply reflect individual demands should be allayed. A user-based assessment will assist healthcare providers to prioritise needs according to what users themselves consider to be most important, beneficial and acceptable to them. Reliance solely on assessments by staff may not lead to the most equitable or appropriate use of services. (RH).
Accession NumberCPA-031001219 A
ClassmarkE: IK: 4C: DP: LK: P6: QT9: 3F

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