Assessment of clinical and social need in patients attending an inner-city psychiatric service

  • S. Guruswamy
  • M. Gannon
  • M. Ryan
  • A Kinsella
  • E. G. Breen
  • B. D. KellyEmail author
Letter to the Editor

Dear Editor,

Socio-economic disadvantage is associated with increased rates of many psychiatric disorders, including schizophrenia and depressive disorder, with the effects of depressive disorder being especially strong in urban areas [1]. The Mater Sector Psychiatry Service is located in one of the most socio-economically disadvantaged catchment areas in Ireland: over 50% of the population in this catchment area falls into the most deprived socio-economic category (category 10) [2, 3]. In 1997, Gannon et al. [4] studied the clinical and social needs of patients attending this service and identified a substantial level of unmet need, especially in the areas of psychological distress, lack of company, physical health, information and looking after the home. We performed a similar survey 9 years later, in order to identify the areas in which the current patient population experiences the greatest need.

We used the Camberwell Assessment of Need [5] to assess 22 areas of clinical and...


Schizophrenia Bipolar Disorder Psychological Distress Depressive Disorder Catchment Area 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We are grateful to the patients and staff of the Mater Sector Psychiatry Service for their participation in this project. The Mater Sector Psychiatry Service is provided through a partnership arrangement between the Mater Misercordiae University Hospital, the Health Service Executive and St Vincent’s Hospital, Fairview.


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Copyright information

© Royal Academy of Medicine in Ireland 2008

Authors and Affiliations

  • S. Guruswamy
    • 1
  • M. Gannon
    • 2
  • M. Ryan
    • 3
  • A Kinsella
    • 4
  • E. G. Breen
    • 1
  • B. D. Kelly
    • 1
    Email author
  1. 1.Mater Misericordiae University HospitalDublin 7Ireland
  2. 2.St Brendan’s HospitalDublinIreland
  3. 3.Connolly HospitalDublin 15Ireland
  4. 4.Department of Clinical PharmacologyRoyal College of Surgeons in IrelandDublin 2Ireland

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