Evidence map›Paper›PMID 19533002›Full record

ArticleSocial psychiatry and psychiatric epidemiology2010

The Met Needs Index: a new metric for outcome assessment in mental health services.

Erik Wennström, Lars Berglund, Johan Lindbäck

Abstract readComparative Study
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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Erik WennströmDepartment of Neuroscience, Psychiatry, Uppsala University Hospital, 750 17, Uppsala, Sweden. erik.wennstrom@neuro.uu.se
Lars Berglund
Johan Lindbäck

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo apt method has been available to assess and monitor the responsiveness of services in meeting ongoing needs of patients with long-term mental illness. The present study examines the utility of a new metric for such a purpose, the Met Needs Index (MNI), applied to the Camberwell Assessment of Need (CAN).

methodsThe MNI was estimated as an aggregated measure of met need or beneficial outcome, based on annual staff rated CAN-assessments of 321 outpatients (76% psychotic disorders) in psychiatric care during 7 years. Corresponding confidence intervals were estimated with the bootstrap percentile method.

resultsThe overall MNI was estimated at 0.71 (95% CI 0.69-0.74), indicating that identified needs in general were met during 71% of the intervals between the annual assessments. However, the MNI for specific need domains of the CAN ranged from 0.89 (95% CI 0.84-0.93) for 'food' to 0.11 (95% CI 0.07-0.16) for 'sexual expression', indicating a significant variation in responsiveness of services to different types of need in this patient population.

conclusionsThe MNI seems to be a useful and powerful metric for outcome assessment and monitoring of psychiatric services from a needs assessment approach.

Indexed as

AdolescentAdultAgedAged, 80 and overCommunity Mental Health ServicesFemaleHumansMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePsychotic DisordersSeverity of Illness IndexSocioeconomic FactorsSweden

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.