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Discrepancies between service users' and care coordinators' views of need and service engagement.

Monero, D.; (2005) Discrepancies between service users' and care coordinators' views of need and service engagement. Doctoral thesis , University of London. Green open access

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Abstract

Service engagement is paramount in ensuring effective services are delivered to help people with long-term mental health problems. Another important issue is the extent to which service users and professionals agree on recovery priorities so that these can be translated into needs to be met. Although the disagreement between service users and clinicians on opinions of need status (met or unmet) has been related to several clinical and functional outcomes the impact of discrepant views on service engagement has not been fully explored. This pilot study aimed to examine the association between differences in care coordinator and service user views of "Getting Better", need status and service engagement. A total of 30 service users with a psychotic diagnosis and their care coordinators completed a What Getting Better Means Questionnaire and the Camberwell Assessment of Need Short Appraisal Scale to compare their recovery priorities and beliefs about need status. Service engagement as was measured by the Service Engagement Scale alongside the helping alliance (Helping Alliance Scale) and services users' adjustment to psychosis (Recovery Style Questionnaire) were assessed. The result of this pilot investigation failed to support the main hypothesis that higher disagreement between staff and services users on recovery priorities and need status could lead to lower levels of service engagement. However a statistically significant correlation between staff-client agreement and the helping alliance was detected. In addition it was found that higher unmet needs and service engagement were correlated. Findings were understood in terms of health belief models. Clinical implications for the experimental results were explored.

Type: Thesis (Doctoral)
Title: Discrepancies between service users' and care coordinators' views of need and service engagement.
Identifier: PQ ETD:593024
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Thesis digitised by Proquest
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: http://discovery.ucl.ac.uk/id/eprint/1445700
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