Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-22T16:02:39.930Z Has data issue: false hasContentIssue false
  • English
  • Français

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
Get access Rights & Permissions [Opens in a new window]

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 

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

Becker, T., Holloway, F., McCrone, P., et al (1998) Evolving service interventions in Nunhead and Norwood. PRiSM Psychosis Study 2. British Journal of Psychiatry, 173, 371–375.Google Scholar
Brewin, C. R. (1992) Measuring individual needs for care and services. In Measuring Mental Health Needs (eds Thornicroft, G., Brewin, C. & Wing, J.), pp. 220–236. London: Gaskell.Google Scholar
Carter, M., Crosby, C., Geertshuis, S., et al (1996) Developing reliability in client-centred mental health needs assessment. Journal of Mental Health, 5, 233–243.Google Scholar
Department of Health Social Services Inspectorate (1991) Care Management and Assessment: Practitioner's Guide. London: HMSO.Google Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L., et al (1976) The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.Google Scholar
Fletcher, A. (1995) Quality-of-life measurements in the evaluation of treatment: proposed guidelines, British Journal of Clinical Pharmacology, 39, 217–222.Google Scholar
Goldberg, D. (1994) Cost-effectiveness in the treatment of patients with schizophrenia. Acta Psychiatrica Scandinavica Supplementum, 382, 89–92.Google Scholar
Hoult, J., Rosen, A. & Reynolds, I. (1984) Community orientated treatment compared to psychiatric hospital orientated treatment. Social Sciences and Medicine, 18, 1005–1110.Google Scholar
Johnson, S., Leese, M., Brooks, L., et al (1998) Frequency and predictors of adverse events. PRiSM Psychosis Study 3. British Journal of Psychiatry, 173, 376–384.Google Scholar
Marks, I. M., Connolly, J. & Muijen, M. (1994) Home based versus hospital-based care for people with serious mental illness, British Journal of Psychiatry, 165, 179–194.Google Scholar
McCrone, P., Thornicroft, G., Phelan, M., et al (1998) Utilisation and costs of community mental health services. PRiSM Psychosis Study 5. British Journal of Psychiatry, 173, 391–398.Google Scholar
Parkman, S., Davies, S., Leese, M., et al (1997) Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4. British Journal of Psychiatry, 171, 260–264.Google Scholar
Phelan, M., Slade, M., Thornicroft, G., et al (1995) The Camberwell Assessment of Need (CAN): the validity and reliability of an instrument to assess the needs of people with severe mental illness, British Journal of Psychiatry, 167, 589–595.Google Scholar
Plewis, I. (1986) Analysing data from longitudinal comparative studies. In New Developments in Statistics for Psychology and the Social Sciences (ed. Lovie, A. D.). London: BPS and Methuen.Google Scholar
Priebe, S. & Gruyters, T. (1995) Patients' assessments of treatment predicting outcome. Schizophrenia bulletin, 21, 87–94.Google Scholar
Ruggeri, M. (1996) Satisfaction with Psychiatric Services. In Mental Health Outcome Measures (eds Thornicroft, G. & Tansella, M.). London: Springer.Google Scholar
Ruggeri, M. & Dall'Agnola, R. (1993) The development and use of the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS) for measuring expectations and satisfaction with community-based psychiatric services in patients, relatives and professionals. Psychological Medicine, 23, 511–523.Google Scholar
Simes, R. J. (1986) An improved Bonferroni procedure for multiple tests of significance, Biometrika, 73, 751–754.Google Scholar
Slade, M. (1994) Needs assessment, British Journal of Psychiatry, 165, 293–296.Google Scholar
Slade, M. Phelan, M., Thornicroft, G., et al (1996) The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill. Social Psychiatry and Psychiatric Epidemiology, 31, 9–113.Google Scholar
Taylor, R. E., Leese, M., Clarkson, P., et al (1998) Quality of life outcomes for intensive versus standard community mental health services. PRiSM Psychosis Study 9. British Journal of Psychiatry, 173, 16–422.Google Scholar
Thornicroft, G., Strathdee, G., Phelan, M., et al (1998) Rationale and design. PRiSM Psychosis Study I. British Journal of Psychiatry, 173, 363–370.Google Scholar
Thornicroft, G., & Tansella, M., (eds) (1996) Mental Health Outcome Measures. London: Springer.Google Scholar
Ventura, J., Lukoff, D., Nuechterlein, K. H., et al (1993a) Brief Psychiatric Rating Scale (BPRS) expanded version (4.0) scales. Anchor points and administration manual. International Journal of Methods in Psychiatric Research, 3, 227–243.Google Scholar
Ventura, J., Green, M. F., Shaner, A., et al (1993b) Training and quality assurance with the Brief Psychiatric Rating Scale: ‘The Drift Busters’. International Journal of Methods in Psychiatric Research, 3, 221–244.Google Scholar
Williams, B. & Wilkinson, G. (1995) Patient satisfaction in mental health care. Evaluating an evaluative method. British Journal of Psychiatry, 166, 559–562.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.