The development of a Local Index of Need (LIN) and its use to explain variations in social services expenditure on mental health care in England

Health & Social Care in the Community
Paul McCroneFayaz Aziz

Abstract

Wide variations in deprivation exist across England and it is likely that these variations translate into differences in the need for mental health care. Social Services Departments in England account for a substantial proportion of mental health expenditure. It is important that the distribution of expenditure reflects mental health needs. This paper's aims are to (1) describe the development of a new indicator of mental health needs, (2) use the index to explain variations in social services expenditure on mental health, and (3) compare the index with other established measures of need. A principal components analysis of sociodemographic variables considered to be indicators of need was used to produce four distinct factors for 148 Local Authority areas in England. A weighted sum of these factors was used to produce a single index. (Weights were the proportion of variance explained by each factor.) The index was used in a regression model to explain variations in spending on mental health care and was compared with (1) a model containing the four individual factors, (2) the current method of allocating resources, (3) the index used to allocate resources to primary care trusts, (4) the Mental Illness Needs Index (MINI), (5) fo...Continue Reading

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Feb 4, 2009·Health & Social Care in the Community·Sally JeromeSandy Herron-Marx
Nov 29, 2014·International Journal of Environmental Research and Public Health·Yong Yi LeeHarvey A Whiteford
Aug 1, 2018·Health & Social Care in the Community·Alexandra Chapman
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