Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-26T08:11:29.320Z Has data issue: false hasContentIssue false
  • English
  • Français

Are parents and children satisfied with CAMHS?

Published online by Cambridge University Press:  09 September 2015

F. McNicholas ,
Udo Reulbach ,
Sarah O. Hanrahan  and
Manas Sakar
F. McNicholas*
Affiliation:
Consultant Child & Adolescent Psychiatrist, Department of Child and Adolescent Psychiatry, Our Lady’s Children’s Hospital, Crumlin, Dublin 12 and St. John of Gods, Lucena Clinic, Rathgar and University College Dublin, Ireland
Udo Reulbach
Affiliation:
Lucena Clinic, Rathgar and UCD (Special Lecturer in Child Psychiatry)
Sarah O. Hanrahan
Affiliation:
Research Psychologist, Lucena Clinic and UCD
Manas Sakar
Affiliation:
Manas Sakar, Consultant Child and Adolescent Psychiatrist, The Priory Hospital, Stump Lane, CHELMSFORD CM1 7SJ, UK
*
*Address for correspondence: Prof. F. McNicholas, MD, FRCPsych, Consultant Child & Adolescent Psychiatrist, Department of Child and Adolescent Psychiatry, Our Lady’s Children’s Hospital, Crumlin, Dublin 12 and St. John of Gods, Lucena Clinic, Rathgar and University College Dublin, Ireland. (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Client Satisfaction with services is an important predictor of health care seeking, treatment compliance and health status outcome. Given that both parents and young people may have different views of services offered, this study examines both perspectives with respect to Child and Adolescent Mental Health Services (CAMHS) in Ireland.

Method

Following ethical approval, the Client Satisfaction Questionnaire-8 (CSQ-8) were sent to all open cases attending three urban CAMHS. Returned questionnaires were received from 426 (280 parents and 146 adolescents) giving a response rate of 49%.

Results

No significant differences were observed between parents and adolescents regarding general satisfaction with CAMHS (Mann–Whitney U-test; Z=−0.255; p=0.799) with a range of good and excellent ratings between 77.1% (for the extent that program met user’s needs) and 93.1% (for recommendation of program to a friend). Significant positive associations were found between age of child (Spearman’s ρ=0.159; p=0.017), receiving a diagnosis (Mann–Whitney U-test; Z=−2.14; p=0.032), frequent attendance (χ2=8.74; df=3; p=0.033) and living in close proximity to the service (χ2=9.24; df=3; p=0.026). There was a strong negative correlation between reduction in impairment and levels of satisfaction (ρ=−0.44, n=275, p<0.000). Waiting time or duration in service were not associated with CSQ and 53% (145) requested clinic opening hours outside of 09:00 a.m. to 17:00 p.m.

Conclusion

Regular user feedback, a robust and distinct measure of service quality, will ensure the development of effective, accessible, client-centered and responsive services, which can evolve in partnership with families and young people.

Keywords

Adolescentschildrenchild and adolescent mental health servicemental healthsatisfactionservice user
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 3 , September 2016 , pp. 143 - 149
Copyright
© College of Psychiatrists of Ireland 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brannan, AM, Sonnichsen, SE, Heflinger, CA (1996). Measuring satisfaction with children’s mental health services: validity and reliability of the satisfaction scales. Evaluation and Program Planning 19, 131–141.Google Scholar
Coyne, I, Sakar, M, McNamara, N, McNicholas, F (2015). Adolescents’ and parents’ views of Child and Adolescent Mental Health Services (CAMHS) in Ireland. Journal of Psychiatric and Mental Health Nursing.Google Scholar
Expert Group on Mental Health Policy (2006). A Vision for Change: Report of the Expert Group on Mental Health Policy. Government of Ireland, 2006.Google Scholar
Garland, AF, Haine, RA, Lewczyk Boxmeyer, C (2007). Determinates of youth and parent satisfaction in usual care psychotherapy. Evaluation and Program Planning 30, 45–54.Google Scholar
Godley, SH, Fiedler, EM, Funk, RR (1998). Consumer satisfaction of parents and their children with child/adolescent mental health services. Evaluation and Program Planning 21, 31–45.Google Scholar
Hasler, G, Moergeli, H, Bachmann, R, Lambreva, E, Buddeberg, C, Schnyder, U (2004). Patient satisfaction with outpatient psychiatric treatment: the role of diagnosis, pharmacotherapy, and perceived therapeutic change. Canadian Journal of Psychiatry 49, 315–321.Google Scholar
Health Service Executive (2014). Fifth Annual Child and Adolescent mental Health Service Report 2012–2013. Health Service Executive: Dublin.Google Scholar
Heflinger, CA, Simpkins, CG, Scholle, SH, Kelleher, KJ (2004). Parent/caregiver satisfaction with their child’s medicaid plan and behavioral health providers. Mental Health Services Research 6, 23–32.Google Scholar
Hennessy, E (1999). Children as service evaluators. Child and Adolescent Mental Health 4, 153–161.Google Scholar
Hill, S, Turner, N, Barry, S, O’Callaghan, E (2009). Client satisfaction among outpatients attending an Irish community mental health service. Irish Journal of Psychological Medicine 26, 127–130.Google Scholar
Holmboe, O, Iversen, HH, Hanssen-Bauer, K (2011). Determinants of parents’ experiences with outpatient child and adolescent mental health services. International Journal of Mental Health Systems 5, 22.Google Scholar
Jabbar, F, Casey, P, Schelten, SL, Kelly, BD (2011). What do you think of us? Evaluating patient knowledge of and satisfaction with a psychiatric outpatient service. Irish Journal of Medical Science 180, 195–201.Google Scholar
Jha, AK, Orav, EJ, Zheng, J, Epstein, AM (2008). Patients’ perception of hospital care in the United States. The New England Journal of Medicine 359, 1921–1931.Google Scholar
Kessler, R, Berglund, P, Demler, O, Jin, R, Merikangas, K, Walters, E (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry 62, 593–602.Google Scholar
Lally, J, Byrne, F, McGuire, E, McDonald, C (2013). Patient satisfaction with psychiatric outpatient care in a university hospital setting. Irish Journal of Psychological Medicine 30, 271–277.Google Scholar
Litt, IF (1998). Satisfaction with health care: the adolescent’s perspective. Journal of Adolescent Health 23, 59–60.Google Scholar
Manary, MP, Boulding, W, Staelin, R, Glickman, SW (2013). The patient experience and health outcomes. The New England Journal of Medicine 368, 201–203.Google Scholar
Martin, M, Carr, A, Burke, L, Carroll, L, Byrne, S (2006) The Clonmel Project. Mental Health Service Needs of Children and Adolescents in the South East of Ireland, Final Report, Health Services Executive.Google Scholar
Meltzer, H, Gatward, R, Goodman, R, Ford, T (2000). Mental Health of Children and Adolescents in Great Britain. The Stationery Office: London.Google Scholar
Powell, R-A, Holloway, F, Lee, J, Sitzia, J (2004). Satisfaction research and the uncrowned king. Challenges and future directions. Journal of Mental Health. 13, 11–20.Google Scholar
Steinhausen, HC (1983). Parental satisfaction with achievements and experiences within the scope of a child and adolescent psychiatric polyclinic. Praxis der Kinderpsychologie und Kinderpsychiatrie 32, 286.Google Scholar
Strasser, S, Aharony, L, Greenberger, D (1993). The patient satisfaction process: moving toward a comprehensive model. Medical Care Research and Review 50, 219–248.Google Scholar
Suhrcke, M, Fahey, DK, McKee, M (2008). Economic aspects of chronic disease and chronic disease management. In Caring for People with Chronic Conditions: A Health System Perspective (ed. E Nolte and M McKee), pp. 43–63. Open University Press: Maidenhead.Google Scholar
Turchik, JA, Karpenko, V, Ogles, BM, Demireva, P, Probst, DR (2010). Parent and adolescent satisfaction with mental health services: does it relate to youth diagnosis, age, gender, or treatment outcome? Community Mental Health Journal 46, 282–288.Google Scholar
U.S. Department of Health and Human Services (1999). Mental Health: A Report of the Surgeon General. U.S. Department of Health and Human Services; Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health: Rockville, MD.Google Scholar
Wierzbicki, M, Pekarik, G (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice 24, 190.Google Scholar