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The patientís view of need and caregiving consequences: a cross-sectional study of inpatients with severe mental illness


Cleary, M and Hunt, GE and Walter, G and Freeman, A, The patient's view of need and caregiving consequences: a cross-sectional study of inpatients with severe mental illness, Journal of Psychiatric and Mental Health Nursing: an international journal for researchers and practioners, 13 pp. 506-514. ISSN 1351-0126 (2006) [Refereed Article]

Copyright Statement

© 2006 The Authors.

DOI: doi:10.1111/j.1365-2850.2006.00972.x


This cross-sectional study was conducted across inpatient facilities of a metropolitan mental health service in Sydney, Australia. Given shorter lengths of stay in acute inpatient facilities, it is important to ascertain differences between patientsí and carersí perceptions of need and support in order to guide delivery of care in the community. The objectives were to: (1) assess the needs of patients recently admitted to hospital and ascertain the level of carer involvement while in hospital; (2) compare the degree of agreement between patientsí and carersí perceptions of need and caregiver burden; and (3) determine the relationship between levels of need and carer burden prior to hospitalization. Over a 2-month period, consecutive patients (n = 200) were interviewed using the Camberwell Assessment of Need Short Appraisal Schedule and a modified version of the Involvement Evaluation Questionnaire to assess basic needs and patient perceptions of caregiver burden, respectively. Of the 200 patients interviewed, 68% (n = 135) identified a carer. Patients with schizophrenia had most met needs, those with affective disorders had most unmet needs and patients with other diagnoses recorded the lowest number of needs overall. The level of agreement between patient and carer perceptions of need was low, possibly because of confusion about the definition of need or different views about the support required to fulfil a need. Patients underestimated the consequences of caregiving, especially the impact of strained atmosphere, global burden, worrying about their future and encouragement to undertake an activity, indicating that carers were more burdened than patients perceived them to be.

Item Details

Item Type:Refereed Article
Keywords:needs, caregiving, mental health
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:108435
Year Published:2006
Web of Science® Times Cited:20
Deposited By:Health Sciences
Deposited On:2016-04-19
Last Modified:2016-11-15

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