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Can severely mentally ill adults reliably report their needs?
P W Corrigan1, B Buican, S McCracken
1University of Chicago, Center for Psychiatric Rehabilitation, Tinley Park, Illinois 60477, USA.
The Journal of Nervous and Mental Disease
|September 1, 1996
Summary
Severely mentally ill patients
Area of Science:
- Psychiatry and Psychology
- Rehabilitation Science
Background:
- Active patient participation is crucial for psychiatric rehabilitation.
- Cognitive deficits in severe mental illness may impair needs reporting reliability.
Purpose of the Study:
- To assess the reliability of needs assessment in severely mentally ill outpatients.
- To compare patient reliability with control subjects.
Main Methods:
- 35 severely mentally ill outpatients and 16 controls completed a needs assessment twice.
- Reliability was measured by raw agreement between assessments.
- Performance on structured vs. individualized items was analyzed.
Main Results:
- Both groups showed higher reliability on structured items.
- Patients were less reliable than controls on individualized and standardized items.
- Patient reliability correlated with thought disturbance.
Conclusions:
- Highly structured assessment methods are essential for reliable needs reporting in cognitively impaired patients.
- Tailored assessment approaches are needed to support psychiatric rehabilitation planning.