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Predictors of Satisfaction with Care in Patients Suffering from Schizophrenia Treated Under Community Mental Health Teams

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Abstract

The aim of this study was to assess satisfaction with care and to identify the predictors of this variable among sociodemographic, clinical and social data in a group of patients suffering from schizophrenia under treatment in community mental health teams. The study included 90 patients with a diagnosis of schizophrenia under the care of community mental health teams. Positive and Negative SyndromeScale, Verona Service Satisfaction Scale, Disability Assessment Schedule, Social Network Index and a loneliness scale (UCLA Loneliness Scale)were used in the study. Prognostic factors for higher satisfaction with care in the multivariate model involved: level of disability (Beta = -0.46, p < 0.001), duration of treatment under a CMHT (Beta = 0.36, p < 0.001), age (Beta = -0.37,p < 0.001), and education (Beta = -0.30, p = 0.002). The model explained 43% of the variance in the dependent variable. 1.Satisfaction with care in a CMHT was high. 2. Higher patient satisfaction could be predicted based on a lower level of disability, longer duration of treatment under a CMHT, lower age and lower education.

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References

  • Barker, D. A., Shergill, S. S., Higginson, I., & Orrell, M. W. (1996). Patients’ views towards care received from psychiatrists. British Journal of Psychiatry, 168(5), 641–646.

    Article  CAS  Google Scholar 

  • Bener, A., & Ghuloum, S. (2013). Gender difference on patients’ satisfaction and expectation towards mental health care. Nigerian Journal of Clinical Practice, 16(3), 285–291.

    Article  PubMed  Google Scholar 

  • Berghofer, G., Lang, A., Henkel, H., Schmidl, F., Rudas, S., & Schmitz, M. (2001). Satisfaction of inpatients and outpatients with staff, environment, and other patients. Psychiatric Services (washington, D. C.), 52(1), 104–106.

    Article  CAS  Google Scholar 

  • Bjørngaard, J. H., Ruud, T., & Friis, S. (2007). The impact of mental illness on patient satisfaction with the therapeutic relationship. Social Psychiatry and Psychiatric Epidemiology, 42(10), 803–809.

    Article  PubMed  Google Scholar 

  • Burns, T., Raftery, J., Beadsmoore, A., McGuigan, S., & Dickson, M. (1993). A controlled trial of home-based acute psychiatric services: II: Treatment patterns and costs. British Journal of Psychiatry, 163(1), 55–61.

    Article  CAS  Google Scholar 

  • Catty, J., Burns, T., Knapp, M., Watt, H., Wright, C., Henderson, J., & Healey, A. (2002). Home treatment for mental health problems: A systematic review. Psychological Medicine, 32(3), 383–401.

    Article  CAS  PubMed  Google Scholar 

  • Cohen, S., Doyle, W. J., Skoner, D. P., Rabin, B. S., & Gwaltney, J. M. (1997). Social ties and susceptibility to the common cold. JAMA, 277(24), 1940–1944.

    Article  CAS  PubMed  Google Scholar 

  • Díaz-Fernández, S., Frías-Ortiz, D. F., & Fernández-Miranda, J. J. (2019). Suicide attempts in people with schizophrenia before and after participating in an intensive case managed community program: A 20-year follow-up. Psychiatry Research., 287, 112479.

    Article  PubMed  Google Scholar 

  • Edlund, M. J., Young, A. S., Kung, F. Y., Sherbourne, C. D., & Wells, K. B. (2003). Does satisfaction reflect the technical quality of mental health care? Health Services Research, 38(2), 631–645.

    Article  PubMed  PubMed Central  Google Scholar 

  • Eklund, M. (2001). Determinants of satisfaction with community-based psychiatric services: A cross-sectional study among schizophrenia outpatients. Nordic Journal of Psychiatry, 55(6), 413–418.

    Article  CAS  PubMed  Google Scholar 

  • Eytan, A., Bovet, L., Gex-Fabry, M., Alberque, C., & Ferrero, F. (2004). Patients’ satisfaction with hospitalization in a mixed psychiatric and somatic care unit. European Psychiatry, 19(8), 499–501.

    Article  PubMed  Google Scholar 

  • Gebhardt, S., Wolak, A. M., & Huber, M. T. (2013). Patient satisfaction and clinical parameters in psychiatric inpatients — the prevailing role of symptom severity and pharmacologic disturbances. Comprehensive Psychiatry, 54(1), 53–60.

    Article  PubMed  Google Scholar 

  • Gigantesco, A., Picardi, A., Chiaia, E., Balbi, A., & Morosini, P. (2002). Patients’ and relatives’ satisfaction with psychiatric services in a large catchment area in Rome. European Psychiatry, 17(3), 139–147.

    Article  PubMed  Google Scholar 

  • Guo, S., Biegel, D. E., Johnsen, J. A., & Dyches, H. (2001). Assessing the impact of community-based mobile crisis services on preventing hospitalization. Psychiatric Services (washington, D. C.), 52(2), 223–228.

    Article  CAS  Google Scholar 

  • Heath, D. S. (2005). Home treatment for acute mental disorders: An alternative to hospitalization. Routledge.

    Book  Google Scholar 

  • Henderson, C., Phelan, M., Loftus, L., Dall’Agnola, R., & Ruggeri, M. (1999). Comparison of patient satisfaction with community-based vs hospital psychiatric services. Acta Psychiatrica Scandinavica, 99(3), 188–195.

    Article  CAS  PubMed  Google Scholar 

  • Holcomb, W. R., Parker, J. C., Leong, G. B., Thiele, J., & Higdon, J. (1998). Customer satisfaction and self-reported treatment outcomes among psychiatric inpatients. Psychiatric Services (washington, D. C.), 49(7), 929–934.

    Article  CAS  Google Scholar 

  • Hoult, J., & Reynolds, I. (1984). Schizophrenia: A comparative trial of community orientated and hospital orientated psychiatric care. Acta Psychiatrica Scandinavica, 69(5), 359–372.

    Article  CAS  PubMed  Google Scholar 

  • Hoult, J., Reynolds, I., Charbonneau-Powis, M., Coles, P., & Briggs, J. (1981). A controlled study of psychiatric hospital versus community treatment—the effect on relatives. Australian and New Zealand Journal of Psychiatry, 15(4), 323–328.

    Article  CAS  PubMed  Google Scholar 

  • Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276.

    Article  CAS  PubMed  Google Scholar 

  • Killaspy, H. (2006). From the asylum to community care: Learning from experience. British Medical Bulletin, 79(1), 245–258.

    Article  PubMed  Google Scholar 

  • Lucksted, A., McFarlane, W., Downing, D., & Dixon, L. (2012). Recent developments in family psychoeducation as an evidence-based practice. Journal of Marital and Family Therapy, 38(1), 101–121.

    Article  PubMed  Google Scholar 

  • Merson, S., Tyrer, P., Carlen, D., & Johnson, T. (1996). The cost of treatment of psychiatric emergencies: A comparison of hospital and community services. Psychological Medicine, 26(4), 727–734.

    Article  CAS  PubMed  Google Scholar 

  • Mickan, S. M. (2005). Evaluating the effectiveness of health care teams. Australian Health Review, 29(2), 211–217.

    Article  PubMed  Google Scholar 

  • Miglietta, E., Belessiotis-Richards, C., Ruggeri, M., & Priebe, S. (2018). Scales for assessing patient satisfaction with mental health care: A systematic review. Journal of Psychiatric Research, 100, 33–46.

    Article  PubMed  Google Scholar 

  • NICE Clinical guideline 2014: Psychosis and schizophrenia in adults: prevention and management, https://www.nice.org.uk/guidance/cg178 [dostęp: 28.03.2020].

  • Perreault, M., Rogers, W. L., Leichner, P., & Sabourin, S. (1996). Patients’ requests and satisfaction with services in an outpatient psychiatric setting. Psychiatric Services (washington, D. C.), 47(3), 287–292.

    Article  CAS  Google Scholar 

  • Petersen, L., Jeppesen, P., Thorup, A., Abel, M. B., Øhlenschlæger, J., Christensen, T. Ø., Krarup, G., Jørgensen, P., & Nordentoft, M. (2005). A randomised multicentre trial of integrated versus standard treatment for patients with a first episode of psychotic illness. BMJ, 331(7517), 602.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pigott, H. E., & Trott, L. (1993). Translating research into practice: The implementation of an in-home crisis intervention triage and treatment service in the private sector. American Journal of Medical Quality, 8(3), 138–144.

    Article  CAS  PubMed  Google Scholar 

  • Priebe, S., & Bröker, M. (1999). Prediction of hospitalizations by schizophrenia patients assessment of treatment: An expanded study. Journal of Psychiatric Research, 33(2), 113–119.

    Article  CAS  PubMed  Google Scholar 

  • Prot-Klinger, K., & Pawłowska, M. (2009). The effectiveness of community care for people with severe mental disorders. Archives of Psychiatry and Psychotherapy, 4, 43–50.

    Google Scholar 

  • Resende, K., Bandeira, M., & Oliveira, D. C. R. D. (2018). Factors associated with satisfaction with a community mental health service. Paidéia, 28, e2831.

    Article  Google Scholar 

  • Rohland, B. M., Langbehn, D. R., & Rohrer, J. E. (2000). Relationship between service effectiveness and satisfaction among persons receiving Medicaid mental health services. Psychiatric Services (washington, D. C.), 51(2), 248–250.

    Article  CAS  Google Scholar 

  • Rosenheck, R., Wilson, N., & Meterko, M. (1997). Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment. Psychiatric Services (washington, D. C.), 48(12), 1553–1561.

    Article  CAS  Google Scholar 

  • Ruggeri, M. (1994). Patients’ and relatives’ satisfaction with psychiatric services: The state of the art of its measurement. Social Psychiatry and Psychiatric Epidemiology, 29(5), 212–227.

    Article  CAS  PubMed  Google Scholar 

  • Ruggeri, M., Biggeri, A., Rucci, P., & Tansella, M. (1998). Multivariate analysis of outcome of mental health care using graphical chain models the South-Verona outcome project 1. Psychological Medicine, 28(6), 1421–1431.

    Article  CAS  PubMed  Google Scholar 

  • Ruggeri, M., Gater, R., Bisoffi, G., Barbui, C., & Tansella, M. (2002). Determinants of subjective quality of life in patients attending community-based mental health services. The South-Verona Outcome Project 5. Acta Psychiatrica Scandinavica, 105(2), 131–140.

    Article  CAS  PubMed  Google Scholar 

  • Ruggeri, M., Lasalvia, A., Bisoffi, G., Thornicroft, G., Vàzquez-Barquero, J. L., Becker, T., Knapp, M., Knudsen, H. C., Schene, A., & Tansella, M. (2003). Satisfaction with mental health services among people with schizophrenia in five European sites: Results from the EPSILON Study. Schizophrenia Bulletin, 29(2), 229–245.

    Article  PubMed  Google Scholar 

  • Russell, D. W. (1996). UCLA loneliness scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40.

    Article  CAS  PubMed  Google Scholar 

  • Schöttle, D., Ruppelt, F., Schimmelmann, B. G., Karow, A., Bussopulos, A., Gallinat, J., Wiedemann, K., Luedecke, D., Rohenkohl, A. C., Huber, C. G., Bock, T., & Lambert, M. (2019). Reduction of involuntary admissions in patients with severe psychotic disorders treated in the ACCESS integrated care model including therapeutic assertive community treatment. Frontiers Psychiatry, 10, 736.

    Article  Google Scholar 

  • Słupczyńska-Kossobudzka, E., Boguszewska, L., & Wójtowicz, S. (2001). Skuteczność zespołów leczenia środowiskowego w czterech ośrodkach — katamneza dwuletnia. Postępy Psychiatrica Neurology, 10, 289–299.

    Google Scholar 

  • Smith, D., Roche, E., O’Loughlin, K., Brennan, D., Madigan, K., Lyne, J., & O’Donoghue, B. (2014). Satisfaction with services following voluntary and involuntary admission. Journal of Mental Health, 23(1), 38–45.

    Article  PubMed  Google Scholar 

  • Stamboglis, N., & Jacobs, R. (2020). Factors associated with patient satisfaction of community mental health services: A multilevel approach. Community Mental Health Journal, 56(1), 50–64.

    Article  PubMed  Google Scholar 

  • Stanisz, A. (2016). Modele regresji. W: Modele regresji logistycznej (s: 77−149). StatSoft Polska, Kraków

  • Thornicroft, G., Bebbington, P., & Leff, J. (2005). Outcomes for long-term patients one year after discharge from a psychiatric hospital. Psychiatric Services (washington, D. C.), 56(11), 1416–1422.

    Article  Google Scholar 

  • Thornicroft, G., Szmukler, G., Mueser, K. T., & Drake, R. E. (2011). Oxford Textbook of Community Mental Health. Oxford University Press.

    Book  Google Scholar 

  • Thornicroft, G., & Tansella, M. (2005). Growing recognition of the importance of service user involvement in mental health service planning and evaluation. Epidemiology Psychiatrica Science, 14(1), 1–3.

    Article  Google Scholar 

  • Thornicroft, G., & Tansella, M. (2010). Satisfaction with mental health services. London: RCPsych Publications.

    Google Scholar 

  • Tyrer, P., Evans, K., Gandhi, N., Lamont, A., Harrison-Read, P., & Johnson, T. (1998). Randomised controlled trial of two models of care for discharged psychiatric patients. BMJ, 316(7125), 106–109.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tyrer, P., & Simmonds, S. (2003). Treatment models for those with severe mental illness and comorbid personality disorder. The British Journal of Psychiatry, 182(S44), s15–s18.

    Article  Google Scholar 

  • Üstün, T. B., Kostanjsek, N., Chatterji, S., Rehm, J., Kennedy, C., Epping-Jordan, J., Saxena, S., von Korff, M., & Pull, C. (2010). Measuring health and disability: Manual for WHO disability assessment schedule (WHODAS 2.0). Bulletien World Health Organaization, 88, 815–823.

    Article  Google Scholar 

  • Woodward, S., Berry, K., & Bucci, S. (2017). A systematic review of factors associated with service user satisfaction with psychiatric inpatient services. Journal of Psychiatric Research, 92, 81–93.

    Article  PubMed  Google Scholar 

  • Zendjidjian, X. Y., Auquier, P., Lancon, C., Loundou, A., Parola, N., Faugere, M., & Boyer, L. (2014). Determinants of patient satisfaction with hospital health care in psychiatry: Results based on the SATISPSY-22 questionnaire. Patient Preference and Adherence, 8, 1457.

    PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Psychosis Research Unit, Association for the Development of Community Psychiatry and Care, Krakow, Poland

    Marta Hat

  2. Faculty of Psychology, SWPS University, Sopot, Poland

    Aleksandra Arciszewska-Leszczuk

  3. Community Psychiatry and Psychosis Research Center, Chair of Psychiatry, Jagiellonian University Medical College, Krakow, Poland

    Iga Plencler & Andrzej Cechnicki

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  1. Marta Hat
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  2. Aleksandra Arciszewska-Leszczuk
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  4. Andrzej Cechnicki
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Hat, M., Arciszewska-Leszczuk, A., Plencler, I. et al. Predictors of Satisfaction with Care in Patients Suffering from Schizophrenia Treated Under Community Mental Health Teams. Community Ment Health J 58, 1495–1504 (2022). https://doi.org/10.1007/s10597-022-00964-4

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