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CANE: Camberwell assessment of need for the elderly
- Editors:
- ORRELL Martin, HANCOCK Geraldine
- Publisher:
- Gaskell
- Publication year:
- 2004
- Pagination:
- 127p.
- Place of publication:
- London
CANE: Camberwell Assessment of Need for the Elderly is a tool for assessing the needs of older people and particularly those with mental health problems. It is based on the Camberwell Assessment of Need, a widely used needs assessment for people with severe mental illness. Needs are assessed in 24 areas of life and cover a broad range of health, social and psychological domains. Also included are two items that assess the needs of those who care for the older person. The CANE is a comprehensive assessment instrument, suitable for both research and clinical use. This book contains chapters on its development, and its application in various settings and populations, such as day hospitals, sheltered housing, primary care, acute hospital wards, services for early-onset dementia, and long-term care settings. There are also chapters on its use in Spain and Germany. Both the full version CANE and short version (CANE–S) are included in photocopiable format, along with a detailed manual, a full training programme and scoring guidance.
The needs of older people with mental health problems according to the user, the carer, and the staff
- Authors:
- HANCOCK Geraldine, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(9), September 2003, pp.803-811.
- Publisher:
- Wiley
Individual assessment of needs has been recognised as the most appropriate way to allocate health and social care resources. These assessments, however, are often made by the staff or by a carer who acts as an advocate for the user themselves. Little is known about how these proxy measures compare to how individual patients perceive their own needs. The aim of this study was to measure and compare ratings of need for older people with mental health problems by the older person themselves, their carer, and an appropriate staff member. One-hundred and one older people were identified from various mental health services and 87 users, 57 carers, and 95 staff were interviewed using the Camberwell Assessment of Need for the Elderly (CANE) to identify met and unmet needs. Users identified significantly fewer of their needs (5.5) than either staff (8.1) or carers (8.3) did, but this difference was accounted for by people with dementia reporting less needs. Users identified fewer psychological or social needs (e.g. daytime activities, company, or carer distress) than staff or carers did. The average Kappa indicating level of agreement between staff and user was 0.52, between user and carer was 0.53, and between carer and user was 0.58. This showed only a fair level of reliability between different ratings of need. User perspectives should be given a high priority when assessing individual needs. Fears that assessment of need would be unduly time-consuming or would simply reflect individual demands should be allayed. A user-based assessment will assist healthcare providers to prioritise needs according to what the user themselves consider to be most important, beneficial, and acceptable to them. Reliance solely on assessment by staff or carers may not lead to the most equitable or appropriate use of services.