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SynopsisThe aims of the Camberwell High Contract Survey (CHCS) were to develop and test a systematic needs assessment procedure and use it to evaluate the services provided to long-term users of day centres and sheltered residential accommodation (excluding hospital wards). This paper describes the background to the study, the sample of 145 attenders and their characteristics, their clinical and social problems and the care provided for them.

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Three hundred and eighty-fwe psychiatric patients were screened by a nurse for alcohol-related problems, and a representative 112 were re-interviewed in a 'blind' fashion by a psychiatrist using either (a) the same screening interview, or (b) a much more detailed history schedule. Reliability measures between the two screening interviews were high for alcohol consumption as well as the Brief MAST, CAGE, and Reich tests. Similarly the more detailed 'validity' interview produced closely correlated estimates of alcohol consumption. Agreement was less good for women than men and for drinking in the month, as opposed to theyear, before admission. The Brief MAST, CA GE, or Reich screening tests could usefully be incorporated into the routine nursing interview at first contact with psychiatric patients.

SummaiyThree hundred and eighty-five psychiatric patients were screerud by a nurse for atcohot-retated problems, and a representative 112 were re-interviewed in a 'blind'fashion by a psychiatrist using either (a) the same screening interview, or (b) a muck more detaited history schedute. Retiabitity measures between the two screening interviews were high for atcohot consumption as wett as the Brief MAST, CAGE, and Reich tests. Simitarty the more detaited 'validity' interview produced closety correlated estimates of atcohot consumption. Agreement was tess good for women than men and for drinking in the month, as opposed to theyear, before admission. The Brief MAST, CAGE, or Reich screening tests could usefiitty be incorporated into the routine nursing interview at first contact with psychiatric patients.