THE MANCHESTER CARE ASSESSMENT SCHEDULE

MANCAS Version 0.2.3

Amended 2009

Service User Name ……………………………………………

Date of Birth ______/ ______/______

NHS No. …………………

Hospital Casenote No. ………………

Social Services No. ………………

Care Co-ordinator ……………………………

Current Service (ward, CMHT, etc.):

………………………………………………

………………………………………………

………………………………………………

Date Assessment commenced ______/ ______/______

MANCAS Version 0.2 SCORESHEET

RATING OF NEEDS

0 = none; 1 =low; 2 = moderate

3 = Substantial 4 = Critical * If either ‘Risk’ items 1 or 3 are rated 2 or more, then undertake full risk / safety

assessment and follow appropriate reporting and management procedure.

Rating
1. * SELF-CARE & DIET (incl. self-neglect)
2. PSYCHOLOGICAL HEALTH
3. * SAFETY TO SELF/OTHERS
4. ACCOMMODATION
5. MONEY
6. DAILY OCCUPATION, STRUCTURE & INTERESTS
7. STIGMA & HARASSMENT
8. SOCIAL CONTACTS
9. CLOSE RELATIONSHIPS (incl. carer, if applicable)
10. LANGUAGE & CULTURE
11. PHYSICAL HEALTH & DISABILITY
12. LOOKING AFTER HOME
13. EMPLOYMENT
14. INFORMATION ABOUT CONDITION & TREATMENT
15. ALCOHOL & DRUGS
16. CHILDCARE & SAFEGUARDING CHILDREN
17. EDUCATIONAL NEEDS (incl. Literacy & Numeracy)
18. TRANSPORT
19. SEXUAL EXPRESSION
20. RELIGION & BELIEFS

Client’s Post-code ………………………………………………….

Worker Name(s) ……………………………………………………………………………………

Designation(s) ………………………………………………………Date ..…./……../……..

  1. * SELF-CARE & DIET (incl. Self-neglect )

Look for: hygiene; clothing; cooking, washing, laundry and bathing facilities; home cleaning equipment; appropriate and sufficient food; special diet requirements; access to GP; whereabouts of local shops.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

* If RISK is apparent or suspected, enough for a rating of 2(+), then do a full Risk Assessment.

______

  1. PSYCHOLOGICAL HEALTH

Look for: problems with emotional distress, anxiety, low mood, seeing / hearing things, impaired concentration or memory. Note any specific stressors. See also ‘MentalState’, if more detail needed.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. *SAFETY TO SELF/OTHERS

Look for: thoughts, plans, intentions, or expressions of harm to self / anyone else; safety and security of home – any risk of accidents / break-ins; is client prone to wandering, causing excess stress to carers, or creating discord in neighbourhood. Who involved, how severe, outcomes. Note also criminal record, court appearances, Probation, etc.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

* If RISK is apparent or suspected, enough for a rating of 2(+), then do a full Risk Assessment.

  1. ACCOMMODATION

Look for: Is client homeless? Does s/he like current accommodation? Are there any problems with neighbours, other tenants, landlord? Is home over-crowded, or under-furnished? Household amenities – bathroom, décor, heating, kitchen facilities. Are there any problems with wiring, lighting, plumbing, drains?

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

5. MONEY

Look for: Problems managing money; earnings, debts, arrears or under-payments; Nat. Insurance No., if relevant. See also ‘Finances’, if more details needed.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. DAILY OCCUPATION, STRUCTURE & INTERESTS (not ‘Employment’ – item 13)

Look for: difficulties managing structured/stimulating daily life; boredom, listlessness, inability to concentrate. Any sports, hobbies, leisure interests – past / present.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

  1. STIGMA & HARASSMENT

Look for: evidence/reports of insults, threats, assaults, uncharacteristic social withdrawal, negative discrimination.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. SOCIAL CONTACTS

Look for: unwanted loneliness, social isolation / avoidance; few / no visits from anyone.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. CLOSE RELATIONSHIPS (incl. problems with/for main carer)

Look for: tensions between client and close relatives / carers; lack of confidants; specific abuse / neglect; intruders or unwelcome occupants. Is there a carer? Has s/he been offered a Carer's Assessment of their own needs?

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

  1. LANGUAGE & CULTURE

Look for: client’s ethnic and cultural background; country of origin; first language; specific cultural or linguistic needs. Are client’s views being represented, or those of relative / interpreter? Adjustment problems.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. PHYSICAL HEALTH & DISABILITY

Look for: signs of ill health – skin problems, oedema, breathlessness, over-/under-weight, sensory impairment, aches or pains, changes to physical systems - digestion, bowel / bladder habits. Current treatments / past surgery, hospitalisations / investigations. Has the user been checked for high blood pressure / heart disease / diabetes?

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

Does this person have any allergies? If so, detail below.

______

12. LOOKING AFTER THE HOME

Look for:chaotic, dirty interior to home; structural problems with property; worrying odours, cigarette burns to floor / furnishings; inadequate wall, floor or window coverings. Problems with water / gas / electricity.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

  1. EMPLOYMENT

Look for: employment as paid work, full-/part-time, not simply ‘Daily Occupation’ as recorded under Item 6.

If working: type of work; enjoyment / interest; relationships with boss /colleagues; wages.

If unemployed:when last employed; type of job; reasons for leaving; any voluntary work; hopes / aspirations for work

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

14. INFORMATION ABOUT CONDITION & TREATMENT

Look for: evidence of client’s understanding of their mental distress, and the treatment – professional as well as pharmacological, incl. Care Plans – they are receiving. Any difficulties taking medication as prescribed. See also ‘MentalState’, if relevant.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. ALCOHOL & DRUGS

Look for: problems with controlling drinking / drinking to excess; use of street / non-prescription drugs; misuse of prescribed drugs; related behaviour problems,memory loss, falls, worsening of symptoms (full details). See also ‘MentalState’ if implicated.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

  1. CHILDCARE / SAFEGUARDING CHILDREN

Look for: number, names, ages of children; difficulties looking after children; access problems. Does the service user present a risk to children? Do they have contact with children, i.e. children in the household or that they may look after? Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

* If RISK is apparent or suspected, enough for a rating of 2(+), then do a full Risk Assessment.

______

  1. EDUCATIONAL NEEDS (incl. Literacy & Numeracy)

Look for: problems with reading or writing English, or counting; evidence of incomplete or fragmented schooling; interest in improving past educational or vocational achievements, current capabilities, adult education / re-training.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

______

  1. TRANSPORT

Look for: client’s means of transport (car, bus, taxi, bicycle, foot, etc); evidence of client’s mobility, locally. Does client have / need a BusPass?

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

  1. SEXUAL EXPRESSION

Look for: difficulties with intimacy; problems with sexual orientation; evidence of past / current abuse; problems with desire, libido, impotence, medication side-effects, contraception. Does the user present a risk to children? If so, what is the user’s contact with children? [E.g. Children in household, babysitting, works with children]

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

If risk is apparent or suspected, enough for a rating of 2(+) then do a full risk assessment

______

  1. RELIGION & BELIEFS

Look for: formal religious belief / practice; interest in / pursuit of a spiritual life; loss of faith; culture-based beliefs.

Note: how service user manages, strengths, views; other agencies / personnel involved; source(s); date & worker ID

PERSONAL HISTORY

Infancy Milestones, trauma, separations, hospitalisations, migrations

Childhood Nursery, school, relationships with teachers / peers, problems

Adolescence School(s), truancy / school refusal, achievements, qualifications, attitude, friends, close relationships

Employment Job(s), attitude to colleagues / employers, satisfaction, stress, unemployment, plans / hopes

Relationships Psychosexual development / early experiences, separation / loss(es)

Forensic Convictions. Ever a victim? (Details)

Personality Past versus present, view of self, coping style, resilience / strengths

FINANCES

Give details of INCOMINGS versus OUTGOINGS;Nat. Insurance No. List any debts, arrears, repayment schemes - Council Tax, Water Rates, Gas, Electric, Telephone, Rent, Catalogue Co., TV Licence, Savings / Insurance schemes; pawnbroker, money-lender; car tax licence; hire purchase arrangements [car, video]. Earnings on top of state benefits.

FAMILY & SOCIAL NETWORK

List key people in client’s life, incl. Family Tree / ‘Genogram’, if possible. Show deaths [mode & exact dates] and list any ‘significant others’, for picture of client’s social network - names, relationship to client, whereabouts, tel. nos., etc. If client presents potential risk to children, highlight contacts with children

MENTAL STATE incl. Medication

Appearance and Behaviour; Speech; Mood; Thoughts; Abnormal Beliefs and Experiences; Cognition; Physical Systems; Self-Appraisal.

MEDICATION: give full details, incl. problems – side-effects, adherence, availability.

ANY OTHER INFORMATIONrelevant to care planning (see previous page for guidance)

MANCHESTER MENTAL HEALTH & SOCIAL CARE NHS TRUST 2003

Acknowledgements to: Malcolm T Firth (DEAL, Dept of Psychiatric Social Work, University of Manchester)