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Assessment of needs for mental health care

Assessment of needs for mental health care. Professor Norman Sartorius Geneva, Switzerland. Traditional definition of needs. Number of individuals with a disease X Number of interventions considered optimal. Traditional definition of needs: problems. Diseases are often ill defined

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Assessment of needs for mental health care

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  1. Assessment of needs for mental health care Professor Norman Sartorius Geneva, Switzerland

  2. Traditional definition of needs • Number of individuals with a disease X • Number of interventions considered optimal Professor Norman Sartorius, 2005

  3. Traditional definition of needs: problems • Diseases are often ill defined • Many individuals refuse treatment or undertake it themselves • There is no consensus about « optimal » treatment among those concerned • The prevalence of diseases changes over time • The efficacy and cost of interventions change over time Professor Norman Sartorius, 2005

  4. Definition of needs Effective interventions Demands Disease Professor Norman Sartorius, 2005

  5. A definition of needs for 2005 Needs are equal to demands related to a disease for which the service has or could have an effective and acceptable intervention Professor Norman Sartorius, 2005

  6. Corollaries of the 2005 definition • Demands for which there is no adequate response are not needs • Needs are not necessarily proportional to prevalence of a disease • Needs vary between and within individuals • Needs are different in different cultures, times and social groups Professor Norman Sartorius, 2005

  7. Overlap of needs Common needs Family needs Health staff needs Community needs Society needs Patient needs Professor Norman Sartorius, 2005

  8. Society’s needs • Reduce cost • Reduce numbers of impaired/diseased • Reduce problems unpleasant for government • Use health action to promote ideology of society Professor Norman Sartorius, 2005

  9. Family needs • Help the sick member • Avoid shame and stigma • Receive compensation for care • Harmonize care with other family roles • Be informed Professor Norman Sartorius, 2005

  10. Health staff needs • Avoid litigation • Prevent burn-out • Reduce work burden • Harmonize care and personal careers • Avoid danger Professor Norman Sartorius, 2005

  11. Community health needs • Reduce nuisances • Obtain government’s support • Participate in decisions about communities • Reduce problems due to « different » people (« U » shaped curve of tolerance) Professor Norman Sartorius, 2005

  12. Tolerance of the proportion of people who are different Tolerane % of people who are different Professor Norman Sartorius, 2005

  13. Needs of people with mental illness • Obtain or retain respect from staff, family, social agents • Reduce suffering • Understand (or label) illness • Obtain subsistence support • Avoid impairment and disability • Avoid relapse Professor Norman Sartorius, 2005

  14. Needs of people with mental illness (2) • Prevent disease in offspring • Increase self confidence • Have opportunity to use assets Professor Norman Sartorius, 2005

  15. Needs assessment • Comparative • Corporate • Epidemiological • Ethnographic • Ideological Professor Norman Sartorius, 2005

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