Abstract
Methods
We recruited without exclusion 112 in-patients with chronic schizophrenia in a long-stay rehabilitation facility of a major
psychiatric hospital in Perth, Western Australia. Case managers completed a number of measures for participants, including
The Camberwell Assessment of Need-Short Appraisal Schedule, which evaluates health and social needs. Latent class analysis
according to patient need was performed to identify clusters within the cohort. One way analysis of variance was used to identify
the external validators of these clusters, using variables obtained from the additional study measures (Social Behaviour Schedule,
Global Assessment of Function, Basic Everyday Living Skills, Behaviour Rating Inventory of Executive Function-Adult version).
psychiatric hospital in Perth, Western Australia. Case managers completed a number of measures for participants, including
The Camberwell Assessment of Need-Short Appraisal Schedule, which evaluates health and social needs. Latent class analysis
according to patient need was performed to identify clusters within the cohort. One way analysis of variance was used to identify
the external validators of these clusters, using variables obtained from the additional study measures (Social Behaviour Schedule,
Global Assessment of Function, Basic Everyday Living Skills, Behaviour Rating Inventory of Executive Function-Adult version).
Results
Three distinct needs-based clusters with different external profiles were identified. A “low unmet needs” group (n = 50) with relatively intact executive function, with the least problematic behaviour and most independent functioning; a
“high unmet need (drug abstinent)” group (n = 43) with greatest executive dysfunction, most problematic behaviour and least independent function; a “high unmet need
(drug using)” group (n = 19), with less severe executive dysfunction, and intermediate relative to the other groups on measures of social behaviour
and independent functioning.
“high unmet need (drug abstinent)” group (n = 43) with greatest executive dysfunction, most problematic behaviour and least independent function; a “high unmet need
(drug using)” group (n = 19), with less severe executive dysfunction, and intermediate relative to the other groups on measures of social behaviour
and independent functioning.
- Content Type Journal Article
- Category Original Paper
- Pages 1-10
- DOI 10.1007/s00127-012-0579-5
- Authors
- Brian D. Power, North Metropolitan Area Health Service, Perth, Australia
- Milan Dragović, North Metropolitan Area Health Service, Perth, Australia
- Daniel Rock, North Metropolitan Area Health Service, Perth, Australia
- Journal Social Psychiatry and Psychiatric Epidemiology
- Online ISSN 1433-9285
- Print ISSN 0933-7954