Jansson Lennart, Sonnander Karin, Wiesel Frits-Axel
Department of Neuroscience, Psychiatry, Ulleråker, Uppsala University Hospital, 75017 Uppsala, Sweden.
Eur Arch Psychiatry Clin Neurosci. 2005 Feb;255(1):57-64. doi: 10.1007/s00406-004-0537-7. Epub 2004 Nov 12.
The identification of needs for support and service in clients with long-term mental disabilities is usually not done by staff personnel from both psychiatric care and social services. However, such a process is probably necessary in order to provide adequate psychiatric care and social services.
To estimate the prevalence of mentally disabled clients and investigate whether staff from psychiatric care and social services identified the same individuals and the same number of needs in the same areas.
Clients from a defined catchment area were identified during a three-month period. A questionnaire was developed to collect socio-demographic information and to assess needs for support and service.
The study identified 1,290 clients with needs with a prevalence of 5.72/1000 inhabitants. More than half of the clients needed support in activities of daily living. Only 18.1% of the clients were identified by both organizations. In general, the staff from psychiatric care and social services identified the same needs at a group level. However, at the individual level, agreement was quite low.
The staffs from both psychiatric care and social services are necessary to evaluate the needs of support and services in clients with mental disabilities.
对于患有长期精神残疾的客户，其对支持和服务需求的识别通常并非由精神科护理人员和社会服务人员共同完成。然而，为了提供充分的精神科护理和社会服务，这样一个过程可能是必要的。
估计精神残疾客户的患病率，并调查精神科护理人员和社会服务人员是否识别出相同的个体以及在相同领域的相同数量的需求。
在三个月的时间内识别来自特定集水区的客户。编制了一份问卷，以收集社会人口统计学信息并评估对支持和服务的需求。
该研究识别出1290名有需求的客户，患病率为5.72/1000居民。超过一半的客户在日常生活活动方面需要支持。两个组织共同识别出的客户仅占18.1%。总体而言，精神科护理人员和社会服务人员在群体层面识别出相同的需求。然而，在个体层面，一致性相当低。
精神科护理人员和社会服务人员都有必要评估精神残疾客户对支持和服务的需求。
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