title: Needs assessed by psychiatric health care and social services in a defined cohort of clients with mental disabilities.
abstract: BACKGROUND
  The identification of needs for support and service in clients with long-term mental disabilities is usually not done by staff personnel from both psychiatric care and social services. However, such a process is probably necessary in order to provide adequate psychiatric care and social services.
  
  
  OBJECTIVE
  To estimate the prevalence of mentally disabled clients and investigate whether staff from psychiatric care and social services identified the same individuals and the same number of needs in the same areas.
  
  
  METHODS
  Clients from a defined catchment area were identified during a three-month period. A questionnaire was developed to collect socio-demographic information and to assess needs for support and service.
  
  
  RESULTS
  The study identified 1,290 clients with needs with a prevalence of 5.72/1000 inhabitants. More than half of the clients needed support in activities of daily living. Only 18.1% of the clients were identified by both organizations. In general, the staff from psychiatric care and social services identified the same needs at a group level. However, at the individual level, agreement was quite low.
  
  
  CONCLUSIONS
  The staffs from both psychiatric care and social services are necessary to evaluate the needs of support and services in clients with mental disabilities.
authors.affiliation: Department of Neuroscience, Psychiatry, Ulleråker, Uppsala University Hospital, 75017 Uppsala, Sweden. Lennart.Jansson@neuro.uu.se
authors.forename: Lennart
authors.initials: L
authors.lastname: Jansson
authors.forename: Karin
authors.initials: K
authors.lastname: Sonnander
authors.forename: Frits-Axel
authors.initials: FA
authors.lastname: Wiesel
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D015331:Cohort Studies; D003695:Delivery of Health Care; D003710:Demography; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy; D008875:Middle Aged; D020380:Needs Assessment; D011569:Psychiatric Status Rating Scales; D012949:Social Work, Psychiatric