Table 3. Unmet needs of patients in six subgroup trajectories consisting of homogenous groups of SMI patients in contact with a FACT team over a two-year period.
HoNOS subgroups | Total number of patients | CANSAS (baseline) | CANSAS (assessment 3) | Wilcoxon Signed RankTest (Standardized Test statistic) |
CANSAS Items**** showing significant change between assessment 1 and 3.* |
---|---|---|---|---|---|
N** | Median number of unmet needs (IQR) | Median number of unmet needs (IQR) | |||
Stable at a low problem severity level | 570 | 2 (1–4) | 1 (0–3) | -5.015; p<0.001 | 1, 5, 7, 8, 9, 10, 14, 15, 19, 24 |
Stable at a low medium problem severity level | 899 | 4 (2–7) | 3 (1–6) | -8.700; p<0.001 | 2, 5, 7, 8, 9, 10, 14, 15, 18, 20, 21, 22, 23, 24, 27 |
Stable at a high medium problem-severity level | 355 | 6 (3–9) | 5 (2–8) | -4.457; p<0.001 | 2, 5, 8, 9, 10, 14, 18, 20, 21, 24, 26 |
Stable at a high problem- severity level | 73 | 9 (6–12) | 8 (5–11) | -2.359; p = 0.018 | 2, 22 |
Ameliorating subgroup | 33 | 7 (4–11) | 2.5 (1–5.75) | -2.988; p = 0.003 | 4, 7, 10, 14, 18, 25 |
Deteriorating subgroup | 41 | 3 (2–6) | 7 (3–12.25) | 2.447; p = 0.014 | 3, 4, 7, 12, 13 |
Total | 1971 | 4 (2–7) | 3 (1–6) | -10.861; p<0.001 | 1, 2, 5, 7, 8, 9, 10, 12, 14, 15, 17, 18, 20, 21, 22, 23, 24, 27 |
Statistical test | Chi2 = 364.771, df = 5, p<0.001*** |
Chi2 = 314.971, df = 5, p<0.001*** |
* McNemar test for related samples
** Number of patients, 689 patients had missing cansas assessments
*** Kruskal Wallis test
**** CANSAS items: 1 Accommodation; 2 Food; 3 Housekeeping; 4 Self-care; 5 Daytime activities; 6 Physical health; 7 Psychotic symptoms; 8 Information on condition and treatment; 9 Psychological distress; 10 Personal safety; 11 Safety to others; 12 Alcohol; 13 Drugs; 14 Companionship; 15 Intimate relationships; 16 Sexual Expression; 17 Child care; 18 Education; 19 Telephone; 20 Transport; 21 Money; 22 Benefits; 23 Paid work; 24 Side effects medication; 25 Recovery; 26 Legal problems; 27 Sleep