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User perspective on needs and satisfaction with mental health services

PRiSM Psychosis Study 8

Published online by Cambridge University Press:  02 January 2018

Morven Leese ,
Sonia Johnson ,
Mike Slade ,
Sue Parkman ,
Frank Kelly ,
Michael Phelan  and
Graham Thornicroft
Morven Leese*
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Sonia Johnson
Affiliation:
Department of Psychiatry and Behavioural Sciences, University College London Medical School, 48 Riding House Street, London
Mike Slade
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Sue Parkman
Affiliation:
The Sainsbury Centre for Mental Health, 134–138 Borough High Street, London
Frank Kelly
Affiliation:
Charing Cross Hospital, Fulham Palace Road, London
Michael Phelan
Affiliation:
Charing Cross Hospital, Fulham Palace Road, London
Graham Thornicroft
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
*
Morven Leese, Section of Community Psychiatry, Institute of Psychiatry, De Crespigny Park. London SE5 8AF
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Abstract

Background

Measurement of the impact of different types of service provision on the views of service users is important in planning mental health services.

Method

Needs (met and unmet) and satisfaction with services, were assessed. People with psychosis (n=131) were interviewed before (Time 1) and after (Time 2) the introduction of two community mental health services in south London. One was intensive, with two specialist teams, the other standard. Outcomes were compared at Time 2, controlling for the Time 1 values.

Results

Overall, 70% of needs were met and mean satisfaction was between ‘mixed’ and ‘mainly satisfied’. There was evidence for higher met needs in the intensive sector, but no evidence for lower unmet needs in the intensive sector or for differences in satisfaction. The additional needs met by the intensive service were associated with aspects of basic living situation. Satisfaction was negatively correlated with both unmet and met needs.

Conclusions

Both services were reasonably successful, with little difference from the user perspective. The intensive service provided benefits in terms of met needs, but this has to be balanced against a possible increase in unmet needs.

Type
PRiSM Psychosis Study
Information
The British Journal of Psychiatry , Volume 173 , Issue 5 , November 1998 , pp. 409 - 415
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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