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Profiles of Service Users with Severe Mental Disorders Based on Adequacy of Help

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Abstract

This study has for aims to develop a typology describing adequacy of help based on socio-demographic, clinical and service utilization variables for 204 service users with severe mental disorders treated in the community. Study participants were recruited in an urban area of Quebec (Canada). Adequacy of help was assessed with the Montreal Assessment of Needs Questionnaire. A cluster analysis identified five profiles of service users. Adequacy of help was mainly related to continuity of care, help given by services, seriousness of needs and, to some extent, quality of life (QOL). Adequacy of help was highest among Class 3 participants, described as older individuals with mood disorders, who lived in autonomous housing and enjoyed good QOL. They received substantial help from both relatives and services. Adequacy of help was lowest for Class 5, which included individuals affected by co-occurring mental disorders but who also lived autonomously. Health service utilization was more strongly related to adequacy of help for this sample than were the socio-demographic and clinical factors tested.

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Acknowledgements

We would like to thank the Canadian Institute of Health Research (CIHR), all the individuals who participated in the research, as well to Judith Sabetti.

Funding

The study was funded by the Canadian Institute of Health Research (CIHR-MOP-84512).

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Authors and Affiliations

  1. Research center, Douglas Mental Health University Institute, 6875 LaSalle Blvd., Montreal, Quebec, H4H 1R3, Canada

    Marie-Josée Fleury, Guy Grenier & Jean-Marie Bamvita

  2. Department of Psychiatry, McGill University, 33 Pine Avenue West, Montreal, Quebec, H31 1A1, Canada

    Marie-Josée Fleury

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  1. Marie-Josée Fleury
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Correspondence to Marie-Josée Fleury.

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Fleury, MJ., Grenier, G. & Bamvita, JM. Profiles of Service Users with Severe Mental Disorders Based on Adequacy of Help. Psychiatr Q 90, 613–627 (2019). https://doi.org/10.1007/s11126-019-09652-1

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