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Ashaye, O.A.

OpenGrey Repository

The effectiveness of the Camberwell Assessment of Need for the Elderly (CANE) as a needs assessment tool in the psychiatric day hospital care of older people

The current practice of multidisciplinary team assessments that take place in day hospitals for older persons is compared in this study with the use of a structured needs assessment tool, the Camberwell Assessment of Need for the Elderly (CANE). New admissions attending two different day hospitals, were assessed and then randomly allocated to two groups. The assessments involved the routine day hospital assessments at admission, along with using the CANE, Health of the Nation Outcome Scales (HoNOS) and the Clifton Assessment Procedures for the Elderly-Behaviour Rating Scales (CAPE-BRS). In the experimental group, key workers received the results of the CANE assessment with suggested interventions to meet needs and in the control group, no feedback was given. Three months later, all the patients were reassessed using the same instruments, At first assessment, there was a significantly greater number of needs identified by CANE than through the routine day hospital practice. After three months in the day hospitals, patients in both groups had a substantial decrease in number of unmet needs and lower mean total HoNOS scores, indicating that day hospitals are effective at identifying and meeting needs. There was no significant difference between the experimental and control groups, in terms of the total number of unmet needs, total HoNOS scores and total CAPE-BRS scores on follow-up. However, there were differences at follow-up on two individual CANE needs, accommodation and company. This study has shown that day hospitals are effective at identifying and meeting the needs of older people with mental health problems and that the use of a standardised needs assessment measure may have some advantages over regular clinical practice. More research into how improved needs assessment may be translated into better outcome in day hospital care is required. This should include longer study periods using a structured needs assessment tool in different psychiatric settings for older people and means to enable professionals to utilise better needs assessment to improve outcome

Ashaye, Olakunle Adebisi

UCL Discovery

English

https://discovery.ucl.ac.uk/10124996/1/The_effectiveness_of_the_Cambe.pdf

The effectiveness of the Camberwell Assessment of Need for the Elderly (CANE) as a needs assessment tool in the psychiatric day hospital care of older people

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