P0273 - Do mental health services meet users' needs?

Abstract

Objective:

Clients’ satisfaction with mental health service is one of necessary conditions of good treatment outcomes. The aim of the study was to investigate satisfaction with treatment and it's dependency of users’ needs and their subjective quality of life.

Methods:

The sample of 174 out-patients with schizophrenic, affective, anxiety, eating and personality disorders were assessed with the Brief Psychiatric Rating Scale (BPRS), the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), Manchester Short Assessment of Quality of Life (MANSA) and the Client's Scale for Assessment of Treatment (CAT).

Results:

1. 1. The mean result of CAT was 8,2 [SD=1,5] and the half of patients assessed their satisfaction with treatment between 7,2 and 9,2 (on 1-10 scale). Persons with eating and personality disorders were the least satisfied with services.

2. 2. The highest numbers of met/ total needs were connected with health and unmet needs with social area. Total unmet needs of persons with schizophrenic, eating, personality and affective disorders were significantly higher than among patients with anxiety disorders.

3. 3. Persons with personality, affective and eating disorders had significantly lowest subjective quality of life.

4. 4. Satisfaction with treatment had negative correlation with unmet needs (mostly health and service needs), intensity of depressive/anxiety symptoms and positive correlation with subjective quality of life.

Conclusions:

1. 1. Social needs were the most often unmet from patients’ point of view.

2. 2. The higher unmet needs and more intensive symptoms of depressive/anxiety were, the less patients were satisfied with treatment and the lower they assessed their quality of life.