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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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Title: The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness.
Authors: Phelan, Michael, Slade, Mike, Thornicroft, Graham, Dunn, Graham, Holloway, Frank, Wykes, Til, Strathdee, Geraldine, Loftus, Linda, McCrone, Paul, Hayward, Peter, Phelan, M (AUTHOR), Slade, M (AUTHOR), Thornicroft, G (AUTHOR), Dunn, G (AUTHOR), Holloway, F (AUTHOR), Wykes, T (AUTHOR), Strathdee, G (AUTHOR), Loftus, L (AUTHOR), McCrone, P (AUTHOR), Hayward, P (AUTHOR)
Source: British Journal of Psychiatry. Nov95, Vol. 167, p589-595. 7p. 4 Charts.
Subjects: Psychological tests, Mental health services evaluation, Mental illness, Test validity, Psychological techniques, Mental health services, Medical care laws, Psychiatric epidemiology, National health service laws, Combined modality therapy, Psychiatric diagnosis, Medical care, Medical needs assessment, Medical protocols, National health services, Rehabilitation of people with mental illness, Patients, Psychometrics, Research evaluation, Research bias
Abstract: Background: People with severe mental illness often have a complex mixture of clinical and social needs. The Camberwell Assessment of Need (CAN) is a new instrument which has been designed to provide a comprehensive assessment of these needs. There are two versions of the instrument: the clinical version has been designed to be used by staff to plan patients' care; whereas the research version is primarily a mental health service evaluation tool. The CAN has been designed to assist local authorities to fulfil their statutory obligations under the National Health Service and Community Care Act 1990 to assess needs for community services.Method: A draft version of the instrument was designed by the authors. Modifications were made following comments from mental health experts and a patient survey. Patients (n = 49) and staff (n = 60) were then interviewed, using the amended version, to assess the inter-rater and test-retest reliability of the instrument.Results: The mean number of needs identified per patient ranged from 7.55 to 8.64. Correlations of the inter-rater and test-retest reliability of the total number of needs identified by staff were 0.99 and 0.78 respectively. The percentage of complete agreement on individual items ranged from 100-81.6% (inter-rater) and 100-58.1% (test-retest).Conclusions: The study suggests that the CAN is a valid and reliable instrument for assessing the needs of people with severe mental illness. It is easily learnt by staff from a range of professional backgrounds, and a complete assessment took, on average, around 25 minutes. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 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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  Data: <searchLink fieldCode="AR" term="%22Phelan%2C+Michael%22">Phelan, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Slade%2C+Mike%22">Slade, Mike</searchLink><br /><searchLink fieldCode="AR" term="%22Thornicroft%2C+Graham%22">Thornicroft, Graham</searchLink><br /><searchLink fieldCode="AR" term="%22Dunn%2C+Graham%22">Dunn, Graham</searchLink><br /><searchLink fieldCode="AR" term="%22Holloway%2C+Frank%22">Holloway, Frank</searchLink><br /><searchLink fieldCode="AR" term="%22Wykes%2C+Til%22">Wykes, Til</searchLink><br /><searchLink fieldCode="AR" term="%22Strathdee%2C+Geraldine%22">Strathdee, Geraldine</searchLink><br /><searchLink fieldCode="AR" term="%22Loftus%2C+Linda%22">Loftus, Linda</searchLink><br /><searchLink fieldCode="AR" term="%22McCrone%2C+Paul%22">McCrone, Paul</searchLink><br /><searchLink fieldCode="AR" term="%22Hayward%2C+Peter%22">Hayward, Peter</searchLink><br /><searchLink fieldCode="AR" term="%22Phelan%2C+M%22">Phelan, M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slade%2C+M%22">Slade, M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thornicroft%2C+G%22">Thornicroft, G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dunn%2C+G%22">Dunn, G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Holloway%2C+F%22">Holloway, F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wykes%2C+T%22">Wykes, T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strathdee%2C+G%22">Strathdee, G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loftus%2C+L%22">Loftus, L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCrone%2C+P%22">McCrone, P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hayward%2C+P%22">Hayward, P</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Nov95, Vol. 167, p589-595. 7p. 4 Charts.
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  Data: <bold>Background: </bold>People with severe mental illness often have a complex mixture of clinical and social needs. The Camberwell Assessment of Need (CAN) is a new instrument which has been designed to provide a comprehensive assessment of these needs. There are two versions of the instrument: the clinical version has been designed to be used by staff to plan patients' care; whereas the research version is primarily a mental health service evaluation tool. The CAN has been designed to assist local authorities to fulfil their statutory obligations under the National Health Service and Community Care Act 1990 to assess needs for community services.<bold>Method: </bold>A draft version of the instrument was designed by the authors. Modifications were made following comments from mental health experts and a patient survey. Patients (n = 49) and staff (n = 60) were then interviewed, using the amended version, to assess the inter-rater and test-retest reliability of the instrument.<bold>Results: </bold>The mean number of needs identified per patient ranged from 7.55 to 8.64. Correlations of the inter-rater and test-retest reliability of the total number of needs identified by staff were 0.99 and 0.78 respectively. The percentage of complete agreement on individual items ranged from 100-81.6% (inter-rater) and 100-58.1% (test-retest).<bold>Conclusions: </bold>The study suggests that the CAN is a valid and reliable instrument for assessing the needs of people with severe mental illness. It is easily learnt by staff from a range of professional backgrounds, and a complete assessment took, on average, around 25 minutes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1192/bjp.167.5.589
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        Type: general
      – SubjectFull: Mental health services evaluation
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      – SubjectFull: Mental illness
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