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Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers

AIM: To study the health-care needs of the patients with severe mental disorders as perceived by their family caregivers and the treating psychiatrists. MATERIALS AND METHODS: Caregivers of patients with severe mental disorders and their treating psychiatrists were assessed using Camberwell Assessme...

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Autores principales: Grover, Sandeep, Avasthi, Ajit, Shah, Sandip, Lakdawala, Bhavesh, Chakraborty, Kaustav, Nebhinani, Naresh, Kallivayalil, Roy A, Dalal, Pranob K., Sinha, Vishal, Khairkar, Praveen, Mukerjee, Divya G., Thara, R., Behere, Prakash, Chauhan, Nidhi, Thirunavukarasu, M., Malhotra, Sameer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462788/
https://www.ncbi.nlm.nih.gov/pubmed/26124525
http://dx.doi.org/10.4103/0019-5545.158185
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author Grover, Sandeep
Avasthi, Ajit
Shah, Sandip
Lakdawala, Bhavesh
Chakraborty, Kaustav
Nebhinani, Naresh
Kallivayalil, Roy A
Dalal, Pranob K.
Sinha, Vishal
Khairkar, Praveen
Mukerjee, Divya G.
Thara, R.
Behere, Prakash
Chauhan, Nidhi
Thirunavukarasu, M.
Malhotra, Sameer
author_facet Grover, Sandeep
Avasthi, Ajit
Shah, Sandip
Lakdawala, Bhavesh
Chakraborty, Kaustav
Nebhinani, Naresh
Kallivayalil, Roy A
Dalal, Pranob K.
Sinha, Vishal
Khairkar, Praveen
Mukerjee, Divya G.
Thara, R.
Behere, Prakash
Chauhan, Nidhi
Thirunavukarasu, M.
Malhotra, Sameer
author_sort Grover, Sandeep
collection PubMed
description AIM: To study the health-care needs of the patients with severe mental disorders as perceived by their family caregivers and the treating psychiatrists. MATERIALS AND METHODS: Caregivers of patients with severe mental disorders and their treating psychiatrists were assessed using Camberwell Assessment of Need-Research Version (CAN-R) scale and indigenously designed Supplementary Assessment of Needs Scale (SNAS). RESULTS: The study included 1494 patients recruited from 15 centers. The mean needs as per the CAN-R, perceived by the caregivers were 7.8 and treating psychiatrists were 8.1. About one-third of needs were unmet. On SNAS, both caregivers and treating psychiatrists reported a mean of 7.9 needs, of which more than half were unmet as per the caregivers. As per the treating psychiatrists, 45.5% of the needs as assessed on SNAS were unmet. There was a high level of correlation between needs perceived by the patients, caregivers and the treating psychiatrists. On CAN-R, main domains of needs as reported by the caregivers were those of money, relief of psychological distress, information about the illness and treatment, welfare benefits, transport, company and food. As per the treating psychiatrists, the most common total needs identified were those of relief of psychological distress, welfare benefits, information about the illness and treatment, money, transport, company self-care and physical health. The most common domains of needs as assessed on SNAS as per the caregivers were those of free treatment, medical reimbursement, psychoeducation, financial help, social support, insurance, more time from the clinicians and travel concession. The treating psychiatrists identified dealing with caregiver's stress as the most common need. CONCLUSIONS: According to the family caregivers and treating psychiatrists, about one-third of the needs of the patients as assessed using CAN-R and about half of the needs as assessed using SNAS are unmet.
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spelling pubmed-44627882015-06-29 Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers Grover, Sandeep Avasthi, Ajit Shah, Sandip Lakdawala, Bhavesh Chakraborty, Kaustav Nebhinani, Naresh Kallivayalil, Roy A Dalal, Pranob K. Sinha, Vishal Khairkar, Praveen Mukerjee, Divya G. Thara, R. Behere, Prakash Chauhan, Nidhi Thirunavukarasu, M. Malhotra, Sameer Indian J Psychiatry Original Article AIM: To study the health-care needs of the patients with severe mental disorders as perceived by their family caregivers and the treating psychiatrists. MATERIALS AND METHODS: Caregivers of patients with severe mental disorders and their treating psychiatrists were assessed using Camberwell Assessment of Need-Research Version (CAN-R) scale and indigenously designed Supplementary Assessment of Needs Scale (SNAS). RESULTS: The study included 1494 patients recruited from 15 centers. The mean needs as per the CAN-R, perceived by the caregivers were 7.8 and treating psychiatrists were 8.1. About one-third of needs were unmet. On SNAS, both caregivers and treating psychiatrists reported a mean of 7.9 needs, of which more than half were unmet as per the caregivers. As per the treating psychiatrists, 45.5% of the needs as assessed on SNAS were unmet. There was a high level of correlation between needs perceived by the patients, caregivers and the treating psychiatrists. On CAN-R, main domains of needs as reported by the caregivers were those of money, relief of psychological distress, information about the illness and treatment, welfare benefits, transport, company and food. As per the treating psychiatrists, the most common total needs identified were those of relief of psychological distress, welfare benefits, information about the illness and treatment, money, transport, company self-care and physical health. The most common domains of needs as assessed on SNAS as per the caregivers were those of free treatment, medical reimbursement, psychoeducation, financial help, social support, insurance, more time from the clinicians and travel concession. The treating psychiatrists identified dealing with caregiver's stress as the most common need. CONCLUSIONS: According to the family caregivers and treating psychiatrists, about one-third of the needs of the patients as assessed using CAN-R and about half of the needs as assessed using SNAS are unmet. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4462788/ /pubmed/26124525 http://dx.doi.org/10.4103/0019-5545.158185 Text en Copyright: © Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Grover, Sandeep
Avasthi, Ajit
Shah, Sandip
Lakdawala, Bhavesh
Chakraborty, Kaustav
Nebhinani, Naresh
Kallivayalil, Roy A
Dalal, Pranob K.
Sinha, Vishal
Khairkar, Praveen
Mukerjee, Divya G.
Thara, R.
Behere, Prakash
Chauhan, Nidhi
Thirunavukarasu, M.
Malhotra, Sameer
Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
title Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
title_full Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
title_fullStr Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
title_full_unstemmed Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
title_short Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
title_sort indian psychiatric society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462788/
https://www.ncbi.nlm.nih.gov/pubmed/26124525
http://dx.doi.org/10.4103/0019-5545.158185
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