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The Cardinal Needs Schedule – a modified version of the MRC Needs for Care Assessment Schedule

Published online by Cambridge University Press:  09 July 2009

M. Marshall ,
L. I. Hogg ,
D. H. Gath  and
A. Lockwood
M. Marshall*
Affiliation:
University Department of Psychiatry, Department of Clinical Psychology, Littlemore Hospital, Oxford
L. I. Hogg
Affiliation:
University Department of Psychiatry, Department of Clinical Psychology, Littlemore Hospital, Oxford
D. H. Gath
Affiliation:
University Department of Psychiatry, Department of Clinical Psychology, Littlemore Hospital, Oxford
A. Lockwood
Affiliation:
University Department of Psychiatry, Department of Clinical Psychology, Littlemore Hospital, Oxford
*
1Address for correspondence: Dr Max Marshall, Oxford University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX.
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Synopsis

This paper describes a modified version of the MRC Needs for Care Schedule (the Cardinal Needs Schedule), for measuring needs for psychiatric and social care amongst patients with severe psychiatric disorders. The modified schedule has three new features: (i) it is quick and easy to use; (ii) it takes systematic account of the views of patients and their carers; (iii) it defines and identifies need in a way that is concise and easy to interpret. The paper describes why the three new features were considered necessary, and then gives an overview of the structure of the Cardinal Needs Schedule, together with a description of how the three new features were developed. During a study of social services care management the practicality of the modified schedule was investigated and further data were obtained on the reliability and validity of the standardized approach to measuring need, in domains not previously investigated. Because of its speed and simplicity, the Cardinal Needs Schedule offers a new choice to researchers who wish to use a standardized and practical assessment of need in evaluative studies of community care. Examples of the usage of the modified schedule are given in an Appendix.

Type
Original Articles
Information
Psychological Medicine , Volume 25 , Issue 3 , May 1995 , pp. 605 - 617
Copyright
Copyright © Cambridge University Press 1995

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References

Baker, R. & Hall, J. N. (1988). REHAB: A new assessment instrument for chronic psychiatric patients. Schizophrenia Bulletin 14, 97–111.Google Scholar
Brewin, C. R. & Wing, J. K. (1993). The MRC Needs for Care Assessment: progress and controversies. Psychological Medicine 23, 837–841.Google Scholar
Brewin, C. R., Wing, J. K.., Mangen, S. P., Brugha, T. S. & MacCarthy, B. (1987). Principles and practice of measuring needs in the long-term mentally ill: the M RC Needs for Care Assessment. Psychological Medicine 17, 971–981.Google Scholar
Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S., MacCarthy, B. & Lesage, A. (1988). Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey. Psychological Medicine 18, 457–468.Google Scholar
Griffiths, R. (1989). Community Care: An Agenda for Action. HMSO: London.Google Scholar
Hewitt, K. E. (1983). The behaviour of schizophrenic day-patients at home: an assessment by relatives. Psychological Medicine 13, 885–889.Google Scholar
Hogg, L. (1993). Rehabilitation and care of the long-term mentally ill. Current Opinion in Psychiatry 5, 246–250.Google Scholar
Hogg, L. & Marshall, M. (1992). Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless. Psychological Medicine 22, 1027–1034.CrossRefGoogle ScholarPubMed
Holloway, F. (1991). Day care in an inner city II. Quality of the services. British Journal of Psychiatry 158, 810–816.CrossRefGoogle Scholar
Krawiecka, M., Goldberg, D. & Vaughn, M. 91977). A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica 55, 99–308.Google Scholar
Landis, J. R. & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics 33, 159–174.Google Scholar
Lehman, A. (1983). The well being of chronic mental patients: assessing their quality of life. Archives of General Psychiatry 40, 369–373.Google Scholar
Lesage, A. D., Mignolli, G., Faccincani, C. & Tansella, M. (1991). Standardized assessment of the needs for care in a cohort of patients with schizophrenic psychoses. In Community-based Psychiatry Long-term Patterns of Care in South-Verona Psychological Medicine Monograph Supplement 19 (ed. Tansella, M.), pp. 27–33. Cambridge University Press: Cambridge.Google Scholar
MacCarthy, B., Benson, J. & Brewin, C. R. (1986). Task motivation and problem appraisal in long-term psychiatric patients. Psychological Medicine 16, 431–438.Google Scholar
Marshall, E. J. & Reed, J. L. (1992). Psychiatric morbidity in homeless women. British Journal of Psychiatry 160, 761–769.Google Scholar
Marshall, M. (1994). How should we measure need? Concept and practice in the development of standardised assessments of need. Philosophy, Psychology, Psychiatry 1, 27–40.Google Scholar
Pryce, I. G., Griffiths, R. D., Gentry, R. M., Hughes, I. C. T., Montague, L. R., Watkins, S. E., Champney-Smith, J. & McLackland, B. M. (1991). The nature and severity of disabilities in long-stay psychiatric in-patients in South Glamorgan. British Journal of Psychiatry 158, 817–822.Google Scholar
Pryce, I. G., Griffiths, R. D., Gentry, R. M., Hughes, I. C. T., Montague, L. R., Watkins, S. E., Champney-Smith, J. & McLackland, B. M. (1993). How important is the assessment of social skills in current long-stay in-patients? An evaluation of clinical response to needs for assessment, treatment and care in a long-stay psychiatric in-patient population. British Journal of Psychiatry 162, 498–503.Google Scholar
Thornicroft, G., Ward, P. & James, S. (1993). Care management and mental health. British Medical Journal 306, 768–771.Google Scholar
Van-Haaster, I., Lesage, A., Cyr, M. & Toupin, J. (1994). Further reliability and validity studies of a procedure to assess the needs for care of the chronically mentally ill. Psychological Medicine 24, 215–222.Google Scholar