Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-24T22:35:57.171Z Has data issue: false hasContentIssue false
  • English
  • Français

Principles and practice of measuring needs in the long-term mentally ill: the MRC Needs for Care Assessment

Published online by Cambridge University Press:  09 July 2009

C. R. Brewin ,
J. K. Wing ,
S. P. Mangen ,
T. S. Brugha  and
B. MacCarthy
C. R. Brewin*
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
J. K. Wing
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
S. P. Mangen
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
T. S. Brugha
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
B. MacCarthy
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
*
1Address for correspondence: Dr C R Brewin. MRC Social Psychiatry Unit. Institute of Psychiatry. Dc Crespigny Park, London SE5 8AF.
Get access Rights & Permissions [Opens in a new window]

Synopsis

We report the development of a new procedure for assessing the needs for treatment and care of the long-term mentally ill. This procedure covers 21 areas of clinical and social functioning, and in each of these specifies appropriate interventions. Decision rules are described which permit problems in functioning to be primarily classified as a met need, an unmet need, or as involving no need, and which allow the identification of various secondary needs. We report preliminary data on the reliability and validity of this procedure and discuss its potential applications in the care of the long-term mentally ill.

Type
Research Article
Information
Psychological Medicine , Volume 17 , Issue 4 , November 1987 , pp. 971 - 981
Copyright
Copyright © Cambridge University Press 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Affleck, J. W. & McGuire, R. J. (1984). The measurement of psychiatric rehabilitation status: a review of the needs and a new scale. British Journal of Psychiatry 145, 517–525.CrossRefGoogle Scholar
Bradshaw, J. (1972). A taxonomy of social need. In Problems and Progress m Medical Care, seventh series (ed. McLachlan, G.), pp. 71–82. Oxford University Press: London.Google Scholar
Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S., MacCarthy, B. & Lesage, A. (1987). Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey. Psychological Medicine (submitted).Google Scholar
Brugha, T. S., Wing, J. K., Brewin, C. R., MacCarthy, B., Mangen, S., Lesage, A. & Mumford, J. (1988). The problems of people in long-term psychiatric day care: an introduction to the Camberwell High Contact Survey. Psychological Medicine (in the press).CrossRefGoogle Scholar
Falloon, I. R. H. & Marshall, G. N. (1983). Residential care and social behaviour: a study of rehabilitation needs. Psychological Medicine 13, 341–347.CrossRefGoogle ScholarPubMed
MacCarthy, B., Benson, J. & Brewin, C. R. (1986). Task motivation and problem appraisal in long-term psychiatric patients. Psychological Medicine 16, 431–438.CrossRefGoogle ScholarPubMed
Mägi, M. & Allander, E. (1981). Towards a theory of perceived and medically defined need. Sociology of Health and Illness 3, 49–71.CrossRefGoogle ScholarPubMed
Platt, S., Weyman, A., Hirsch, S. & Hewett, S. (1980). The Social Behaviour Assessment Schedule (SBAS): rationale, contents, scoring and reliability of a new interview schedule. Social Psychiatry 15, 43–55.CrossRefGoogle Scholar
Wing, J. K. (1961). A simple and reliable subclassification of chronic schizophrenia. Journal of Mental Science 107, 862–875.CrossRefGoogle ScholarPubMed
Wing, J. K. (1972). Principles of evaluation. In Evaluating a Community Psychiatric Service (ed. Wing, J. K. and Hailey, A. M.), pp. 11–40. Oxford University Press: Oxford.Google Scholar
Wing, J. K. (1978). Medical and social science and medical and social care. In Social Care Research (ed. Barnes, J. and Connelly, N.), pp. 123–137. Bedford Square Press: London.Google Scholar
Wing, J. K. (1986). The cycle of planning and evaluation. In The Provision of Mental Health Services in Britain: The Way Ahead (ed. Wilkinson, G. and Freeman, H.), pp. 35–48. Gaskell Press: London.Google Scholar
Wing, J. K., Brugha, T. S., Brewin, C. R., MacCarthy, B., Mangen, S. & Lesage, A. (1987). Clinical characteristics of long-term users of day hospitals and day centres in Camberwell. British Journal of Psychiatry (in the press).Google Scholar
Wykes, T., Creer, C. & Sturt, E. (1982). Needs and deployment of services. In Long-term Community Care: Experience in a London Borough (ed. Wing, J. K.), Psychological Medicine Monograph Suppl. No. 2.Google Scholar
Wykes, T. & Sturt, E. (1986). The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry 148, 1–11.CrossRefGoogle ScholarPubMed
Wykes, T., Sturt, E. & Creer, C. (1985). The assessment of patients' needs for community care. Social Psychiatry 20, 76–85.CrossRefGoogle ScholarPubMed