User perspective on needs and satisfaction with mental health services

Morven N. Leese · Sonia Johnson · Mike Slade · Sue Parkman · Frank Kelly · Graham Thornicroft

113 citations0/0 files storedThe British Journal of Psychiatry

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Psychiatric care and mental health services Schizophrenia research and treatment Mental Health and Patient Involvement

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.

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References

1976The Global Assessment Scale 1995The Camberwell Assessment of Need: The Validity and Reliability of an Instrument to Assess the Needs of People with Severe Mental Illness 1993Training and quality assurance with the Brief Psychiatric Rating Scale: "The drift busters."2025Measuring mental health needs 1994Home-Based Versus Hospital-Based Care for People with Serious Mental Illness 1996The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill 1993The 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 1997Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4

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2006Needs of people with severe mental illness 2003Satisfaction With Mental Health Services Among People With Schizophrenia in Five European Sites: Results From the EPSILON Study 2007Service user views and expectations of UK-registered mental health nurses: A systematic review of empirical research

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