Lovell A M
Columbia University et Bureau of Evaluation and Survey Research, New York State Office of Mental Health, New York.
Rev Epidemiol Sante Publique. 1993;41(4):284-91.
For needs assessment research to contribute to mental health program planning and evaluation, the term "need" requires better conceptualization and operationalization. Recent advances in this area are reviewed. The two major American contributions focus on "true prevalence" of need, but rely heavily on simplistic definitions. The major British methodology, developed on treated samples, operationalizes "need" as multidimensional and dynamic. However, its feasibility as a methodology in general populations remains to be demonstrated. Findings from recent mental health consumer preference surveys suggest that a multi-partite approach might be most productive for planning and evaluation.
为使需求评估研究有助于心理健康项目的规划与评估，“需求”这一术语需要更完善的概念化和操作化。本文回顾了该领域的最新进展。美国在这方面的两大主要贡献聚焦于需求的“真实患病率”，但严重依赖过于简单的定义。英国的主要方法是基于已接受治疗的样本开发的，将“需求”操作化为多维且动态的。然而，其作为一般人群研究方法的可行性仍有待证明。近期心理健康消费者偏好调查的结果表明，多方参与的方法可能对规划和评估最有成效。
