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Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry
PURPOSE: In mental health care, patients and their care providers may conceptualize the nature of the disorder and appropriate action in profoundly different ways. This may lead to dropout and lack of compliance with the treatments being provided, in particular in young patients with more severe dis...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519877/ https://www.ncbi.nlm.nih.gov/pubmed/33000312 http://dx.doi.org/10.1007/s00127-020-01969-8 |
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author | Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno |
author_facet | Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno |
author_sort | Vijverberg, Richard |
collection | PubMed |
description | PURPOSE: In mental health care, patients and their care providers may conceptualize the nature of the disorder and appropriate action in profoundly different ways. This may lead to dropout and lack of compliance with the treatments being provided, in particular in young patients with more severe disorders. This study provides detailed information about patient–provider (dis)agreement regarding the care needs of children and adolescents. METHODS: We used the Camberwell Assessment of Need (CANSAS) to assess the met and unmet needs of 244 patients aged between 6 and 18 years. These needs were assessed from the perspectives of both patients and their care providers. Our primary outcome measure was agreement between the patient and care provider on unmet need. By comparing a general outpatient sample (n = 123) with a youth-ACT sample (n = 121), we were able to assess the influence of severity of psychiatric and psychosocial problems on the extent of agreement on patient’s unmet care needs. RESULTS: In general, patients reported unmet care needs less often than care providers did. Patients and care providers had the lowest extents of agreement on unmet needs with regard to “mental health problems” (k = 0.113) and “information regarding diagnosis/treatment” (k = 0.171). Comparison of the two mental healthcare settings highlighted differences for three-quarters of the unmet care needs that were examined. Agreement was lower in the youth-ACT setting. CONCLUSIONS: Clarification of different views on patients’ unmet needs may help reduce nonattendance of appointments, noncompliance, or dropout. Routine assessment of patients’ and care providers’ perceptions of patients’ unmet care needs may also help provide information on areas of disagreement. |
format | Online Article Text |
id | pubmed-8519877 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-85198772021-10-29 Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno Soc Psychiatry Psychiatr Epidemiol Original Paper PURPOSE: In mental health care, patients and their care providers may conceptualize the nature of the disorder and appropriate action in profoundly different ways. This may lead to dropout and lack of compliance with the treatments being provided, in particular in young patients with more severe disorders. This study provides detailed information about patient–provider (dis)agreement regarding the care needs of children and adolescents. METHODS: We used the Camberwell Assessment of Need (CANSAS) to assess the met and unmet needs of 244 patients aged between 6 and 18 years. These needs were assessed from the perspectives of both patients and their care providers. Our primary outcome measure was agreement between the patient and care provider on unmet need. By comparing a general outpatient sample (n = 123) with a youth-ACT sample (n = 121), we were able to assess the influence of severity of psychiatric and psychosocial problems on the extent of agreement on patient’s unmet care needs. RESULTS: In general, patients reported unmet care needs less often than care providers did. Patients and care providers had the lowest extents of agreement on unmet needs with regard to “mental health problems” (k = 0.113) and “information regarding diagnosis/treatment” (k = 0.171). Comparison of the two mental healthcare settings highlighted differences for three-quarters of the unmet care needs that were examined. Agreement was lower in the youth-ACT setting. CONCLUSIONS: Clarification of different views on patients’ unmet needs may help reduce nonattendance of appointments, noncompliance, or dropout. Routine assessment of patients’ and care providers’ perceptions of patients’ unmet care needs may also help provide information on areas of disagreement. Springer Berlin Heidelberg 2020-09-30 2021 /pmc/articles/PMC8519877/ /pubmed/33000312 http://dx.doi.org/10.1007/s00127-020-01969-8 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
title | Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
title_full | Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
title_fullStr | Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
title_full_unstemmed | Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
title_short | Agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
title_sort | agreement between patients and mental healthcare providers on unmet care needs in child and adolescent psychiatry |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519877/ https://www.ncbi.nlm.nih.gov/pubmed/33000312 http://dx.doi.org/10.1007/s00127-020-01969-8 |
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