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Patient-rated mental health needs and quality of life improvement
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 187(3), September 2005, pp.256-261.
- Publisher:
- Cambridge University Press
Patient-rated unmet need is cross-sectionally associated with quality of life. This study aims to test the hypotheses that: (a) higher patient-rated unmet need is associated with lower individual quality of life assessments by a patient over time; and (b) reduction in patient-rated unmet need precedes improvement in quality of life. One hundred and one individuals using adult mental health services in Croydon, London were asked to complete 6-monthly questionnaires, comprising quality of life (Manchester Short Assessment of Quality of Life, MANSA) and unmet need (Camberwell Assessment of Need Short Appraisal Schedule, CANSAS) assessments. Seventy-three participants provided 240 separate pairs of consecutive assessments. Random effects regression models indicated an impact on current quality of life for both average level of unmet need and change in unmet need over the past month. The authors conclude that changes in patient-rated unmet needs may cause changes in quality of life.
Routine use of mental health outcome assessments: choosing the measure
- Authors:
- SALVI Giovanni, LESSE Morven, SLADE Mike
- Journal article citation:
- British Journal of Psychiatry, 186(2), February 2005, pp.146-152.
- Publisher:
- Cambridge University Press
The aim was to investigate the relationship between the items in four staff-rated measures recommended for routine use. Correlation analysis of total scores and factor analysis using combined data from the Health of the Nation Outcome Scales (HoNOS). The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Threshold Assessment Grid (TAG) and the Global Assessment of Functioning (GAF) were performed. Procrustes analysis on factors and scales, and Ward's cluster analysis to group the items, were applied. The total scores of the measures were moderately correlated. The Procrustes analysis, factor analysis and cluster analysis all agreed on better coverage of the patients' problems by HoNOS and CANSAS. A global severity factor accounts for 16% of the variance, and is best measured with TAG or GAF. The CANSAS and HoNOS each provide a detailed characterisation of the patient; only CANSAS provides information about met needs.