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Assessing the needs of pregnant women and mothers with severe mental illness

Published online by Cambridge University Press:  16 April 2020

L.M. Howard
Affiliation:
Health Services Research Department, Institute of Psychiatry, Kings College London, London, United Kingdom
K. Hunt
Affiliation:
Health Services Research Department, Institute of Psychiatry, Kings College London, London, United Kingdom
G. Thornicroft
Affiliation:
Health Services Research Department, Institute of Psychiatry, Kings College London, London, United Kingdom
M. Slade
Affiliation:
Health Services Research Department, Institute of Psychiatry, Kings College London, London, United Kingdom
M. Leese
Affiliation:
Health Services Research Department, Institute of Psychiatry, Kings College London, London, United Kingdom
G. Seneviratne
Affiliation:
Section of Perinatal Psychiatry, Institute of Psychiatry, King's College London, London, United Kingdom
V. O'Keane
Affiliation:
Section of Perinatal Psychiatry, Institute of Psychiatry, King's College London, London, United Kingdom

Abstract

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Background and aims

There is an absence of instruments to assess the complex needs of pregnant women and mothers with severe mental illness. We aimed to develop a standardised assessment of need for pregnant women and mothers with severe mental illness.

Methods

Staff and service users identified relevant domains of need. Professional experts and service users were then surveyed and asked to rate the importance of the domains of the CAN-M (Camberwell Assessment of Need – Mothers). Reliability was established using 36 service user-staff pairs. Concurrent validity was assessed with the Global Assessment of Functioning.

Results

Inter-rater and test-retest reliability coefficients for unmet needs indicated excellent reliability. Relevant CAN-M domains correlated with the Global Assessment of Functioning symptom (p=0.05) and disability (p <0.01) subscales.

Conclusions

The CAN-M is a reliable, valid instrument for assessing the needs of pregnant women and mothers with severe mental illness.

Type
Unassigned abstracts
Copyright
Copyright © European Psychiatric Association 2007
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