Literature DB >> 18427702

Deconstructing the 'black box' of the Camberwell assessment of need score in mental health services evaluation.

Erik Wennström1, Lars Berglund, Johan Lindbäck, Frits-Axel Wiesel.   

Abstract

OBJECTIVE: The aim of the study was to examine an alternative way of scoring the Camberwell Assessment of Need (CAN) for the purpose of service evaluation, using the by us defined Social Services (SI) and Psychiatric Services (PI) subindices.
METHODS: CAN assessments in 1997 and 1999 of 262 outpatients (mean age 45 years, 77.1% psychotic disorders) were reanalysed to fit the SI and the PI, which were compared to the full CAN.
RESULTS: The mean total needs on the full CAN decreased from 6.65 to 6.22 (P = 0.007), as did the mean unmet needs (1.55-1.81, P = 0.049). The mean total needs on the PI decreased from 2.42 to 2.22 (P = 0.006), as did the mean unmet needs (1.66-0.57, P < 0.001). No changes in mean needs occurred on the SI.
CONCLUSIONS: All significant changes occurred on the PI, indicating a more beneficial outcome of the psychiatric care than the social care in terms of meeting needs, a result impossible to discern from the total scores of the CAN. Thus, output scores on subindices of the CAN might be useful as outcome measures in service evaluation.

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Year:  2008        PMID: 18427702     DOI: 10.1007/s00127-008-0354-9

Source DB:  PubMed          Journal:  Soc Psychiatry Psychiatr Epidemiol        ISSN: 0933-7954            Impact factor:   4.328


  15 in total

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10.  The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness.

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2.  The Met Needs Index: a new metric for outcome assessment in mental health services.

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