Behovsutredning og kontakt med hjelpeapparatet hos personer med langvarige psykiske lidelser

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Abstract
In a rural area in Northern Norway Camberwell Assessment of Needs (CAN), a contact checklist, GAF and BPRS were used to determine the number of met and unmet needs, and extent of contact with 10 different social-and health services in a group of long term psychiatric patients. The group consisted of 33 persons with schizophrenia and 24 persons with anxiety or depressive disorders, both set according to ICD-10. None of the patients were institutionalised at the time of the interview. Only patient-identified needs were used in the analysis. As expected, persons with schizophrenia had a higher number of total needs (7.1 and 4.7) and of unmet basic needs (CAN 1-5) and health needs (CAN 6, 7, 9, 10) than persons with anxiety or depression. No difference was found for social needs. In both groups total number of needs (met and unmet) and number of unmet needs was generally found in the areas of activities, psychological distress, psychotic symptoms and social relations. Total number of needs and number of unmet needs correlated positively with symptom-level. A high number of needs (met and unmet) was related to use of primary care or municipality services, whereas a high symptom level was related to use of mental health services. Multiple regression analyses showed that in a model explaining 40% of the variance, use of services was predicted by low GAF, a high number of patient identified health needs and younger age.

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