Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-17T06:05:12.168Z Has data issue: false hasContentIssue false

Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless

Published online by Cambridge University Press:  09 July 2009

Lorna I. Hogg*
Affiliation:
Department of Clinical Psychology and University Department of Psychiatry, Warneford Hospital, Oxford
Max Marshall
Affiliation:
Department of Clinical Psychology and University Department of Psychiatry, Warneford Hospital, Oxford
*
1 Address for correspondence: Dr Lorna I. Hogg, Department of Clinical Psychology, Warneford Hospital, Oxford OX3 7JX.

Synopsis

Hostels for the homeless contain many who are disabled by chronic mental illness but have little access to rehabilitation services. One approach to solving this problem might be to measure the needs of hostel residents in a standardized way and use this information as a basis for planning interventions. This study attempted to use the MRC Needs for Care Assessment Schedule to measure the needs of 46 mentally ill residents of Oxford hostels. It aimed to determine if a standardized assessment could be used in these difficult settings and if the needs it identified could form a useful basis for planning future interventions. Although it was possible to use the schedule, and although the pattern of need identified appeared broadly to reflect conditions in the hostels, it was not felt that the information produced was of sufficient quality to assist in planning services. The authors postulate that underlying this deficiency is the failure of the schedule to take sufficient account of the views of staff and residents.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Baker, R. & Hall, J. N. (1988). REHAB: a new assessment instrument for chronic psychiatric patients. Schizophrenia Bulletin 14, 97111.CrossRefGoogle Scholar
Brewin, C. R. & Wing, J. K. (1988). The MRC Needs for Care Assessment Manual. Institute of Psychiatry: London.Google Scholar
Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S. & MacCarthy, B. (1987). Principles and practice of measuring needs in the long-term mentally ill: the MRC Needs for Care Assessment. Psychological Medicine 17, 971981.CrossRefGoogle ScholarPubMed
Brewin, C. R., Wing, J. K., Mangen, S. P., Brugha, T. S., MacCarthy, B. & Lesage, A. (1988). Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey. Psychological Medicine 18, 457468.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). Minimental state. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189198.CrossRefGoogle Scholar
Holloway, F. (1991). Day care in an inner city. British Journal of Psychiatry 158, 805816.CrossRefGoogle Scholar
Krawiecka, M., Goldberg, D. & Vaughn, M. (1977). A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica 55, 299308.CrossRefGoogle ScholarPubMed
Leach, J. (1979). Providing for the destitute. In Community Care for the Mentally Disabled (ed. Wing, J. K. and Olsen, R.), pp. 90105. Oxford University Press: Oxford.Google Scholar
Leach, J. & Wing, J. K. (1978). The effectiveness of a service for helping destitute men. British Journal of Psychiatry 133, 481492.CrossRefGoogle ScholarPubMed
Leach, J. & Wing, J. K. (1980). How best to help destitute men. In Helping Destitute Men (ed. Wing, J. K.), pp. 151174. Tavistock: London.Google Scholar
Lesage, A. D., Mignolli, G., Faccincani, C. & Tansella, M. (1991). Standardized assessment of the needs for care in a cohort of patients with schizophrenic psychoses. In Psychological Medicine Monograph Supplement 19 (ed. Tansella, M.), pp. 2733. Cambridge University Press: Cambridge.Google Scholar
Lodge Patch, I. C. (1971). Homeless men in London. 1. Demographic findings in a lodging house sample. British Journal of Psychiatry 118, 313317.CrossRefGoogle Scholar
Marshall, E. J. (1992). Psychiatric morbidity in homeless women. British Journal of Psychiatry 160, 761769.CrossRefGoogle ScholarPubMed
Marshall, M. (1989). Collected and neglected: are Oxford hostels for the homeless filling up with disabled psychiatric patients? British Medical Journal 299, 706709.CrossRefGoogle ScholarPubMed
National Institute of Mental Health. (1976) Abnormal involuntary movement scale. In ECDEU Assessment Manual (ed. Guy, W.), pp. 534537. United States Department of Health, Education, and Welfare: Rockville.Google Scholar
Priest, R. G. (1976). The homeless person and the psychiatric services: an Edinburgh study. British Journal of Psychiatry 10, 233235.Google Scholar
Pryce, I. G., Griffiths, R. D., Gentry, R. M., Hughes, I. C. T., Montague, L. R., Watkins, S. E., Champney-Smith, J. & McLackland, B. M. (1991). The nature and severity of disabilities in long-stay psychiatric in-patients in South Glamorgan. British Journal of Psychiatry 158, 817821.CrossRefGoogle ScholarPubMed
Scott, R., Gaskell, P. G. & Morrell, D. C. (1966). Patients who reside in common lodging houses. British Medical Journal ii, 15611564.CrossRefGoogle Scholar
Timms, P. W. (1990). Psychiatric care of the homeless a domiciliary asylum service. Abstracts of the Royal College of Psychiatrists Annual Meeting, pp. 1213.Google Scholar
Timms, P. W. & Fry, A. H. (1989). Homelessness and mental illness. Health Trends 21, 7071.Google ScholarPubMed
Wing, J. K. (1990). Meeting the needs of people with psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology 25, 28.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: New York.Google Scholar
Wykes, T. & Sturt, E. (1986). The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the Social Behaviour Schedule. British Journal of Psychiatry 148, 111.CrossRefGoogle Scholar