Andresen R, Caputi P, Oades L G
Department of Psychology, The University of Wollongong, New South Wales, Australia.
Aust N Z J Psychiatry. 2000 Oct;34(5):856-61. doi: 10.1080/j.1440-1614.2000.00814.x.
Australian mental health policy aims to introduce evidence-based practice within a community care approach. This aim requires reliable measures that can be used by a wide variety of professionals. The interrater reliability of the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) was assessed under routine conditions.
Three interviewer-observer dyads assessed the needs of 14 inpatients and 18 day patients of a psychiatric rehabilitation unit in New South Wales, Australia.
Agreement on the identification of an area of need was high. However, agreement was higher on patient ratings than on staff ratings. Correlations on staff ratings of met needs were also moderate (r = 0.53), suggesting discrepancies in rating the level of need.
Differences in staff ratings may be attributed to ambiguity in the definition of need and levels of need and/or the sources of information used by the rater making the assessment. An approach to establishing an operational definition of need is suggested, and an increase in the number of levels of need is recommended. Implications for Australian mental health policy are noted.
澳大利亚心理健康政策旨在在社区护理方法中引入循证实践。这一目标需要可供各类专业人员使用的可靠测量方法。在常规条件下评估了坎伯韦尔需求简短评估表（CANSAS）的评分者间信度。
三个访谈者-观察者二元组评估了澳大利亚新南威尔士州一个精神康复单元的14名住院患者和18名日间患者的需求。
在确定需求领域方面的一致性较高。然而，患者评分的一致性高于工作人员评分。工作人员对已满足需求的评分之间的相关性也为中等（r = 0.53），这表明在对需求水平进行评分时存在差异。
工作人员评分的差异可能归因于需求定义和需求水平的模糊性，以及进行评估的评分者所使用的信息来源。建议采用一种方法来确定需求的操作定义，并建议增加需求水平的数量。指出了对澳大利亚心理健康政策的影响。
