Hi there I work in adult community mental health, (10 years post grad, NZ) lately we have been losing staff by the truck load, due to a number of issues, mainly high caseloads, lack of staff poor Dr cover etc I was asked to find a tool to measure the acuity of a patient,eg how much work one pt was compared to another I dont feel this is the sum total of the problem , however we have a culture of measuring stress by how big your caseload is, so Im trying to prove a caseload of 3 difficult pts is the same as a caseload 30 easy pts hope this makes some sense Funny Im also a bit stressed!!