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The needs of older people with mental health problems in a Portuguese psychiatric setting

  • Joaquim Passos (a1), Aníbal Fonte (a2), Cláudia Camila Dias (a3) and Lia Fernandes (a4)
ABSTRACT Background:

This study aims to identify met and unmet needs, according to the patient, the carer and the staff, and their relationship with socio-demographic and clinical characteristics in elderly people with mental health problems.


A sample of 306 elderly patients ≥65 years, of both sexes, diagnosed with mental illness (ICD-10 criteria), was recruited from inpatient/outpatient settings in a Department of Psychiatry and Mental Health, in northern Portugal. Patients were assessed with the Camberwell Assessment of Need for the Elderly/CANE.


The majority of diagnoses were depression (33.7%), dementia (24.5%), and schizophrenia (12.7%). The patients’ main unmet needs found were psychological distress (15.0%), daytime activities (10.5%), and benefits (6.5%). Patients reported significantly lower unmet and global needs than carers and staff (Z = −8.58, p < 0.001; Z = −11.07, p < 0.001, respectively). A larger number of global needs (met and unmet) were associated with the diagnosis of dementia, followed by schizophrenia, bipolar, and depressive disorder (p < 0.001), with inpatients reporting more needs than outpatients.


Mental disorders were associated with a greater number of needs in elderly patients, which makes this assessment important as it includes the patients’ perspective, when they are the focus of intervention, in order to decrease distress and make more beneficial use of services, especially in inpatient settings. These different perspectives are crucial when assessing and planning psychiatric and mental health services.

Corresponding author
Correspondence should be addressed to: Lia Fernandes, Faculty of Medicine, University of Porto, Al, Hernâni Monteiro, 4200–319 Porto, Portugal. Phone: 00351222052525. Email:
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O. A. Ashaye , G. Livingston and M. W. Orrell (2003). Does standardized needs assessment improves the outcome of psychiatric day hospital care for older people? A randomized controlled trial. Aging & Mental Health, 7, 195199.

S. Ayis , C. Paúl and S. Ebrahim (2010). Psychological disorders in old age: better identification for better treatment. European Journal of Psychological Assessment, 26, 3945.

T. Benedetti , L. J. Borges , E. L. Petroski and L. Gonçalves (2008). Physical activity and mental health status among elderly people. Revista de Saúde Pública, 42, 302307.

D. Crane-Ross , D. Roth and B. G. Lauber (2000). Consumers’ and case managers’ perceptions of mental health and community support service needs. Community Mental Health Journal, 36, 161178.

L. Fernandes et al. (2009). Validation study of the camberwell assessment of need for the elderly (CANE) in Portugal. International Psychogeriatrics, 21, 94102.

M. F. Folstein , S. E. Folstein and P. R. McHugh (1975). “Mini-Mental State”: a pratical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.

G. A. Hancock , T. Reynolds , B. Woods , G. Thornicroft and M. Orrell (2003). The needs of older people with mental health problems according to the user, the carer and the staff. International Journal of Geriatric Psychiatry, 18, 803811.

W. Houtjes , B. Van Meijel , D. J. H. Deeg and A. T. F. Beekman (2011). Unmet needs of outpatients with late-life depression; a comparison of patient, staff and carer perceptions. Journal of Affective Disorders, 134, 242248.

M. P. Lawton and E. M. Brody (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179186.

M. Meaney , M. Croke and M. Kirby (2005). Needs assessment in dementia. International Journal of Geriatric Psychiatry, 20, 322329.

C. Miranda-Castillo , B. Woods and M. Orrell (2010). People with dementia living alone: what are their needs and what kind of support are they receiving? International Psychogeriatrics, 22, 607617.

C. Miranda-Castillo , B. Woods and M. Orrell (2013). The needs of people with dementia living at home from user, caregiver and professional perspectives: a cross-sectional survey. BMC Health Services Research, 13, 110.

M. Orrell , G. A. Hancock , K. C. Liyanage , B. Woods , D. Challis and J. Hoe (2008). The needs of people with dementia in care homes: the perspectives of users, staff and family caregivers. International Psychogeriatrics, 20, 941951.

T. Reynolds et al. (2000). Camberwell assessment of need for the elderly: development, validity and reliability. British Journal of Psychiatry, 176, 444452.

K. I. Shulman , R. Shedletsky and I. L. Silver (1986). The challenge of time: clock-drawing and cognitive function in the elderly. International Journal of Geriatric Psychiatry, 1, 135140.

R. M. Sousa , M. Scazufca , R. P. Menezes , A. L. Crepaldi and M. J. Prince (2009). Feasibility and reliability of the elderly version of the camberwell assessment of needs (CANE): results from the São Paulo ageing & health study. Revista Brasileira de Psiquiatria, 31, 48.

K. Walters , S. Iliffe , S. S. Tai and M. Orrell (2000). Assessing needs from patient, carer and professional perspectives: the camberwell assessment of need for elderly people in primary care. Age and Ageing, 29, 505510.

J. A. Yesavage et al. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal Psychiatric Research, 17, 3749.

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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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