title: Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses.
abstract: OBJECTIVE
  To assess the health-care needs of the patients with severe mental disorders.
  
  
  METHODS
  Patients with the diagnosis of a severe mental disorder (schizophrenia and related psychotic disorders, bipolar disorder, recurrent depressive disorder, major depressive disorder and obsessive compulsive disorder) were assessed using Camberwell Assessment of Need-Research version (CAN-R) Scale and indigenously designed Supplementary Needs Assessment Scale (SNAS).
  
  
  RESULTS
  The study included 1494 patients recruited from 15 centers. The most common diagnostic group was that of affective disorders (55.3%), followed by psychotic disorders (37.6%). The mean number of total needs as perceived by the patients was 7.6 on the CAN-R. About two-third of the needs as assessed on CAN-R were met, and one-third were unmet. On CAN-R, main domains of needs as reported by patients were those of money, welfare benefits, transport, information about the illness and treatment, relief of psychological distress, company, household skills and intimate relationships. On SNAS, the mean number of total needs as perceived by the patients was 7.6 of which 4.1 were met needs. The most common domains of needs as assessed on SNAS were those of financial help, medical reimbursement, psychoeducation, free treatment, certification of mental illness, flexible work/job timings, addressing the caregiver stress and legal aid.
  
  
  CONCLUSIONS
  About two-third of the needs, of the patients with severe mental disorders are met as assessed using CAN-R. However, higher percentages of unmet needs are identified on SNAS. In view of the commonly reported needs, a change in the orientation of services offered to people with mental disorders is very much called for. At the government level, desired policies must be formulated to support the patients with mental disorders.
authors: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors: Sandeep
authors: S
authors: Grover
authors: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors: Ajit
authors: A
authors: Avasthi
authors: Department of Psychiatry, SBKS MI and RC, Sumandeep Vidyapeeth, Pipaira, Vadodara, Gujarat, India.
authors: Sandip
authors: S
authors: Shah
authors: Department of Psychiatry, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
authors: Bhavesh
authors: B
authors: Lakdawala
authors: Department of Psychiatry, College of Medicine and J.N.M. Hospital, Kalyani, India.
authors: Kaustav
authors: K
authors: Chakraborty
authors: Department of Psychiatry, PGIMS, Rohtak, Haryana, India.
authors: Naresh
authors: N
authors: Nebhinani
authors: Department of Psychiatry, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India.
authors: Roy Abraham
authors: RA
authors: Kallivayalil
authors: Department of Psychiatry, KGMU, Lucknow, Uttar Pradesh, India.
authors: Pranob K
authors: PK
authors: Dalal
authors: Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India.
authors: Vishal
authors: V
authors: Sinha
authors: Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, India.
authors: Praveen
authors: P
authors: Khairkar
authors: Department of Psychiatry, R. G. Kar Medical College, Kolkata, West Bengal, India.
authors: Divya G
authors: DG
authors: Mukerjee
authors: Schizophrenia Research Foundation (SCARF), Chennai, India.
authors: R
authors: R
authors: Thara
authors: Department of Psychiatry, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
authors: Prakash
authors: P
authors: Behere
authors: Mental Hospital, Shimla, Himachal Pradesh, India.
authors: Nidhi
authors: N
authors: Chauhan
authors: Department of Psychiatry, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India.
authors: M
authors: M
authors: Thirunavukarasu
authors: Department of Psychiatry, Fortis Hospital, New Delhi, India.
authors: Sameer
authors: S
authors: Malhotra
keywords: Needs; outcome; severe mental disorders
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