Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-08T11:26:25.709Z Has data issue: false hasContentIssue false

The Assessment of Psychiatric Disability in the Community a Comparison of Clinical, Staff, and Family Interviews

Published online by Cambridge University Press:  02 January 2018

C. R. Brewin*
Affiliation:
MRC Social and Community Psychiatry Unit, Institute of Psychiatry, DeCrespigny Park, London SE5 8AF
F. Veltro
Affiliation:
First Medical School, Institute of Psychiatry, University of Naples
J. K. Wing
Affiliation:
MRC Social and Community Psychiatry Unit
B. MacCarthy
Affiliation:
Academic Unit, St Bernard's Wing, Ealing Hospital and Charing Cross and Westminster Medical School
T. S. Brugha
Affiliation:
Department of Psychiatry, University of Leicester
*
Correspondence

Abstract

Assessments of some of the symptoms and behaviour problems of long-term psychiatric patients living in the community were obtained independently from clinical interviews with such patients, and from interviews with day staff, residential staff and families caring for them. In general, interviews with residential staff and family members revealed much higher levels of symptoms and behaviour problems than either of the other two interviews. These findings have implications for research and clinical practice including the fact that adequate assessments should include the testimony of family or residential staff.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

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

Brewin, C. R. & Wing, J. K. (1988) Manual of the MRC Needs for Care Assessment. Unpublished manuscript. London: Institute of Psychiatry.Google Scholar
Brewin, C. R., Wing, J. K., Mangen, S., et al (1988) Needs for care among the long-term mentally ill: a report from the Camberwell High Contact Survey. Psychological Medicine, 18, 457468.CrossRefGoogle ScholarPubMed
Brugha, T. S., Wing, J. K., Brewin, C. R., et al (1988) The problems of people in long-term psychiatric care: an introduction to the Camberwell High Contact Survey. Psychological Medicine, 18, 443456.Google Scholar
Byrne, L., O'Connor, T. & Fahy, T. J. (1974) The home behaviour of schizophrenic patients living in the community and attending a day centre. British Journal of Psychiatry, 125, 2024.CrossRefGoogle ScholarPubMed
Creer, C., Sturt, E. & Wykes, T. (1982) The role of relatives. In Long-Term Community Care: Experiences in a London Borough (ed. J. K. Wing). Psychological Medicine (monograph suppl. 2).Google Scholar
Creer, C. & Wing, J. K. (1974) Schizophrenia at Home. London: National Schizophrenia Fellowship.Google Scholar
Gibbons, J. S., Horn, S. H., Powell, J. M., et al (1984) Schizophrenic patients and their families: a survey in a psychiatric service based on a DGH unit. British Journal of Psychiatry, 144, 7077.CrossRefGoogle Scholar
Holmes, N., Shah, A. & Wing, L. (1982) The Disability Assessment Schedule: a brief screening device for use with the mentally retarded. Psychological Medicine, 12, 879890.Google Scholar
Kuipers, L., MacCarthy, B., Hurry, J., et al (1989) Counselling the relatives of the long-term adult mentally ill: 2. A low-cost supportive model. British Journal of Psychiatry, 154, 775782.CrossRefGoogle Scholar
MacCarthy, B., Benson, J. & Brewin, C. R. (1986) Task motivation and problem appraisal in long-term psychiatric patients. Psychological Medicine, 16, 431438.Google Scholar
MacCarthy, B., Kuipers, L., Hurry, J., et al (1989a) Counselling the relatives of the long-term adult mentally ill: 1. Evaluation of the impact on relatives and patients. British Journal of Psychiatry, 154, 768775.CrossRefGoogle Scholar
MacCarthy, B., Lesage, A., Brewin, C. R., et al (1989b) Needs for care among the relatives of long-term users of day care. Psychological Medicine, 19, 725736.CrossRefGoogle ScholarPubMed
Wing, J. K. (1960) The measurement of behaviour in chronic schizophrenia. Acta Psychiatrica et Neurologica Scandinavica, 35, 245254.Google Scholar
Wing, J. K. (1961a) A simple and reliable subclassification of chronic schizophrenia. Journal of Mental Science, 107, 862875.CrossRefGoogle ScholarPubMed
Wing, J. K. (1961b) Attitudes to the employability of chronic schizophrenic patients. Occupational Psychology, 35, 5864.Google Scholar
Wing, J. K. (1989) The measurement of social disablement: the MRC Social Behaviour and Social Role Performance Schedules. Social Psychiatry and Psychiatric Epidemiology, 24, 173178.Google Scholar
Wing, J. K., Babor, T., Brugha, T., et al (1990) SCAN: schedules for clinical assessment in neuropsychiatry. Archives of General Psychiatry, 47, 589593.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and Catego Program. London: Cambridge University Press.Google Scholar
Wing, L. & Gould, J. (1978) Systematic recording of behaviours and skills of retarded and psychotic children. Journal of Autism and Childhood Schizophrenia, 8, 7997.Google Scholar
Wykes, T. & Sturt, E. (1986) The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry, 148, 111.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.