A Population-based Needs Assessment for Mental Health Services

Hanson, Laura C.; Houde, Denyse; McDowell, M. M.; Dixon, Lois

doi:10.1007/s10488-006-0103-x

Cited by 7 publications

(2 citation statements)

References 28 publications

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“…This is consistent with research reporting substantial disability and needs among this subgroup (e.g. Freeman et al, 2004;Hanson et al, 2007) and with the observation that group accommodation is commonly provided in the NGO sector, so this subgroup is more likely to access other NGO services. However, it is potentially concerning that those living in marginal or institutional settings are at a relative disadvantage here.…”

Section: Discussionsupporting

confidence: 90%

People living with psychosocial disability: Rehabilitation and recovery-informed service provision within the second Australian national survey of psychosis

Harvey

Brophy

Parsons

et al. 2015

Aust N Z J Psychiatry

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Objective: People with psychosocial disability are an important, although often neglected, subgroup of those living with severe and persistent mental illness. Rehabilitation, provided through clinical and non-government organisations in Australia, may contribute to their personal recovery goals. We hypothesised that people with psychoses with the greatest disability and complex needs would receive services from both sectors, reflecting treatment and rehabilitation needs.Method: Participants in the 2010 Australian national survey of psychosis (n = 1825) were interviewed to assess demographic, functional, mental and physical health characteristics and service use in the previous year. Two subgroups were created and compared: those using services from community mental health with, and without, non-governmental organisation involvement. Group membership was predicted by hierarchical logistic regression using variables selected on a priori grounds. Usefulness of the final model was examined by calculating improvement over the rate of accuracy achievable by chance alone. Results:The model was statistically significant but fell just short of useful (criterion 71.6%, model achieved 70.6%). Four independent variables contributed uniquely to predicting whether participants received both services (never married, childhood trauma, group accommodation, poor global functioning) consistent with the hypothesis. However, severe dysfunction in socialising was less likely to predict membership of the combined services group when compared with no dysfunction (p = 0.001, odds ratio = 0.384, confidence interval = [0.218, 0.677]), as was current smoking compared with none (p = 0.001, odds ratio = 0.606, confidence interval = [0.445, 0.824]). Conclusion:Findings suggest services provided by non-governmental organisations are targeted to those with the greatest disability although targeting could be improved. A subgroup of people with psychosis and severe disability in community mental health services do not access non-governmental services. Their unmet needs for rehabilitation and recovery have important implications for future development of community mental health, including the non-governmental sector.

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Section: Discussionsupporting

confidence: 90%

People living with psychosocial disability: Rehabilitation and recovery-informed service provision within the second Australian national survey of psychosis

Harvey

Brophy

Parsons

et al. 2015

Aust N Z J Psychiatry

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“…Local provision is highly varied and largely determined by historical patterns of development (Lelliott, 1996). At best, imprecise norms for differing forms of supported accommodation have been proposed (Johnson et al, 1996). There is no simple system to assess overall need in a locality and no generally recognised instrument to assess housing need at an individual level (Strathdee & Jenkins, 1996).…”

Section: The Community Care Generationmentioning

confidence: 99%

Supported accommodation for people with severe mental illness: a review

Macpherson¹,

Shepherd²,

Edwards³

2004

Adv. psychiatr. treat

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The authors describe the main forms of supported accommodation available to people with mental health problems in the UK. They address the questions of who needs supported accommodation and how people may be selected for the differing types of unit. Historical trends and policy in this area are reviewed and the general research evidence and evidence of cost-effectiveness are considered. A ‘total system’ approach to assessing accommodation need in a locality is advocated. The authors also consider key quality issues that should be addressed for supported accommodation to be effective.

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The Association Between Income Source and Met Need Among Community Mental Health Service Users in Ontario, Canada

Durbin

Bondy

Durbin

2011

Community Ment Health J

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We examined income source and match between recommended and received care among users of community mental health services. We conducted a secondary analysis of needs-based planning data on adults in Ontario community mental health programs from 2000 to 2002. The outcome was whether clients were severely underserved (yes/no) based on the match between level of care recommended and received. A logistic regression model investigated if income source predicted this outcome. 13% of clients were severely underserved. Over 40% were on public assistance and they had a higher risk of being severely undeserved than the others. Men were at greater risk. One aim of mental health reform is to increase access to care for vulnerable individuals. The finding that among users of community mental health services, individuals with public assistance income support are most vulnerable to being severely underserved should be considered by service planners and providers.

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A Population-based Needs Assessment for Mental Health Services

Cited by 7 publications

References 28 publications

People living with psychosocial disability: Rehabilitation and recovery-informed service provision within the second Australian national survey of psychosis

People living with psychosocial disability: Rehabilitation and recovery-informed service provision within the second Australian national survey of psychosis

Supported accommodation for people with severe mental illness: a review

The Association Between Income Source and Met Need Among Community Mental Health Service Users in Ontario, Canada

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