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The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa
Background The assessment of a patient's individual needs offers many benefits and it is essential for planning and implementing services and interventions. Need is a subjective concept and may be defined from several perspectives. Patient, carer and staff interests may differ, influencing their pe...
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| Format: | Thesis |
| Language: | English |
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Department of Psychiatry and Mental Health
2016
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| _version_ | 1867614242110177280 |
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| access_status_str | Open Access |
| author | Cossie, Qhama Zamani |
| author2 | Kleintjes, Sharon |
| author_browse | Cossie, Qhama Zamani Kleintjes, Sharon |
| author_facet | Kleintjes, Sharon Cossie, Qhama Zamani |
| author_sort | Cossie, Qhama Zamani |
| collection | Thesis |
| description | Background The assessment of a patient's individual needs offers many benefits and it is essential for planning and implementing services and interventions. Need is a subjective concept and may be defined from several perspectives. Patient, carer and staff interests may differ, influencing their perspectives in defining needs. Traditionally, the staff perspective on needs has taken priority but the steady growth of the 'user movement' and 'recovery philosophy' has led to this being challenged. This study aimed to establish patient, carer and staff perceptions of patient need, the extent to which these perceptions were homo- or heterogeneous, and what factors were associated with local perceived needs. Methods The study was informed by a systematic review of the literature focused on the individual needs of people with severe mental illness assessed from multiple perspectives. Patients, carers and staff on the Valkenberg Hospital assertive community treatment (ACT) service were assessed using the Camberwell Assessment of Need Short Appraisal Schedule to evaluate needs. Patient global functioning and current levels of psychopathological symptoms were assessed using the Global Assessment of Functioning scale and the Positive and Negative Syndrome Scale respectively. Kappa statistics were computed to assess agreement in the participants' perspectives. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/19903 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:48:55.655Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Psychiatry and Mental Health |
| publisherStr | Department of Psychiatry and Mental Health |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/19903 The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa Cossie, Qhama Zamani Kleintjes, Sharon Public Mental Health Background The assessment of a patient's individual needs offers many benefits and it is essential for planning and implementing services and interventions. Need is a subjective concept and may be defined from several perspectives. Patient, carer and staff interests may differ, influencing their perspectives in defining needs. Traditionally, the staff perspective on needs has taken priority but the steady growth of the 'user movement' and 'recovery philosophy' has led to this being challenged. This study aimed to establish patient, carer and staff perceptions of patient need, the extent to which these perceptions were homo- or heterogeneous, and what factors were associated with local perceived needs. Methods The study was informed by a systematic review of the literature focused on the individual needs of people with severe mental illness assessed from multiple perspectives. Patients, carers and staff on the Valkenberg Hospital assertive community treatment (ACT) service were assessed using the Camberwell Assessment of Need Short Appraisal Schedule to evaluate needs. Patient global functioning and current levels of psychopathological symptoms were assessed using the Global Assessment of Functioning scale and the Positive and Negative Syndrome Scale respectively. Kappa statistics were computed to assess agreement in the participants' perspectives. 2016-06-02T08:48:24Z 2016-06-02T08:48:24Z 2015 Master Thesis Masters MPhil http://hdl.handle.net/11427/19903 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Mental Health Cossie, Qhama Zamani The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa |
| thesis_degree_str | Master's |
| title | The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa |
| title_full | The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa |
| title_fullStr | The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa |
| title_full_unstemmed | The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa |
| title_short | The relationship between patient, carer and staff perceptions of need in an assertive community treatment team in South Africa |
| title_sort | relationship between patient carer and staff perceptions of need in an assertive community treatment team in south africa |
| topic | Public Mental Health |
| url | http://hdl.handle.net/11427/19903 |
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