Brief Report

Community Mental Health Journal

, Volume 50, Issue 4, pp 402-408

Quality Assessment of Mental Health Care by People with Severe Mental Disorders: A Participatory Research Project

  • Angelo BarbatoAffiliated withLaboratory of Epidemiology and Social Psychiatry, IRCCS-Istituto di Ricerche Farmacologiche Mario NegriIRIS Postgraduate School of Psychotherapy Email author 
  • , Alessia BajoniAffiliated withLaboratory of Epidemiology and Social Psychiatry, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri
  • , Filippo RapisardaAffiliated withLaboratory of Epidemiology and Social Psychiatry, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri
  • , Vito D’AnzaAffiliated withDepartment of Mental Health of Pistoia
  • , Luigi Fabrizio De LucaAffiliated withDepartment of Mental Health of Pistoia
  • , Cristiana IngleseAffiliated withDepartment of Mental Health of Pistoia
  • , Sonia IapichinoAffiliated withDepartment of Mental Health of Pistoia
  • , Fabrizio MaurielloAffiliated withRosaspina Self-Help Association
  • , Barbara D’AvanzoAffiliated withLaboratory of Epidemiology and Social Psychiatry, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri

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Abstract

This study assessed the perceived quality of care by consumers with severe mental disorders. A questionnaire investigating service quality was developed by a consumer focus group and filled by 204 consumers. In five areas the negative evaluations exceeded or closely approximated the positive ones: choice of professionals, waiting times, information about illness and medications. All five do not refer to the outcomes of care, but to the concept of responsiveness. The results confirmed that people with severe mental disorders can give value judgments on various aspects of care. However, even in a service strongly oriented towards community care, the consumers’ needs in sensitive areas concerning choices, respect and autonomy are not met. The application of the concept of responsiveness to quality improvement may help services to meet consumers’ expectations.

Keywords

Quality of mental health care Community mental health services Participatory research Severe mental illness