Community Mental Health Journal

, Volume 48, Issue 2, pp 232–237 | Cite as

Predictors of Caregiver Satisfaction with Mental Health Services

  • Michel PerreaultEmail author
  • Michel Rousseau
  • Hélène Provencher
  • Sarah Roberts
  • Diana Milton
Original Paper


The objective of this study is to examine the relative contribution of three main factors (characteristics of services and service providers, characteristics of patients and caregivers, and impact of psychiatric illness) to caregiver satisfaction with services. Results of this study are based on the responses of 154 family caregivers of individuals with mental illnesses in Quebec, and indicate that these aspects play a predictive role in caregiver satisfaction with services. A multiple regression model explained 42% of the variance in satisfaction. Collaboration with professionals is the key determinant in the model, as it contributes more than any other variable to satisfaction. Results demonstrate the importance of obtaining a better understanding of caregivers’ satisfaction with services in order to increase their involvement in community integration.


Family caregiver Satisfaction Mental health services Satisfaction with services Predictors of satisfaction 


  1. Audini, B., Marks, I. M., Lawrence, R. E., Connoly, I., & Watts, V. (1994). Home-based versus Out-patient/in-patient care for people with serious mental illness (phase II of a controlled study). British Journal of Psychiatry, 165, 204–210.PubMedCrossRefGoogle Scholar
  2. DeChillo, N., Koren, P. E., & Schultze, K. H. (1994). From paternalism to partnership: Family and professional collaboration in children’s mental health. American Journal of Orthopsychiatry, 64, 564–576.PubMedCrossRefGoogle Scholar
  3. Dixon, L., Lyles, A., Scott, J., Lehman, A., Postrado, L., Goldman, H., et al. (1999). Services to families of adults with schizophrenia: From treatment recommendations to dissemination. Psychiatric Services, 50, 233–238.PubMedGoogle Scholar
  4. Downs, M., Ariss, S. M. B., Eryk, G., Keady, J., Turner, S., Bryans, M., et al. (2006). Family carers’ accounts of general practice contacts for their relatives with early signs of dementia. Dementia: The International Journal of Social Research and Practice, 5, 353–373.Google Scholar
  5. Gidron, B., Guterman, N. B., & Hartman, H. (1990). Stress and coping patterns of participants and non-participants in self-help groups for parents of the mentally ill. Community Mental Health Journal, 26(6), 483–496.PubMedCrossRefGoogle Scholar
  6. Gigantesco, A., Picardi, A., Chiaia, E., Balbi, A., & Morosine, P. (2002). Patients’ satisfaction with psychiatric services in a large catchment area in Rome. European Psychiatry, 17, 139–147.Google Scholar
  7. Greenberg, J. S., Seltzer, M. M., Krauss, M. W., & Kim, H. (1997). The differential effects of social support on the psychological well-being of aging mothers of adults with mental illness or mental retardation. Family Relations: Interdisciplinary Journal of Applied Family Studies, 46(4), 383–394.CrossRefGoogle Scholar
  8. Grella, C. E., & Grusky, O. (1989). Families of the serious mentally ill and their satisfaction with services. Hospital & Community Psychiatry, 40, 831–835.Google Scholar
  9. Hanson, J. G., & Rapp, C. A. (1992). Families’ perceptions of community mental health programs for their relatives with a severe mental illness. Community Mental Health Journal, 28, 181–197.PubMedCrossRefGoogle Scholar
  10. Ilfeld, F. W. (1976). Further validation of a psychiatric symptom index in a normal population. Psychological Reports, 39, 1215–1228.CrossRefGoogle Scholar
  11. Marshall, T. B., & Solomon, P. (2000). Releasing information to families of persons with severe mental illness: A survey of NAMI members. Psychiatric Services, 51, 1006–1011.PubMedCrossRefGoogle Scholar
  12. McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A. (2003). Family psychoeducation and schizophrenia: A review of the literature. Journal of Marital and Family Therapy, 29(2), 223–245.PubMedCrossRefGoogle Scholar
  13. Ministère de la Santé et des Services sociaux. (2005). Plan d’action en santé mentale: La force des liens [Quebec Action Plan]. Quebec, Canada: Government of Quebec Printing Office.Google Scholar
  14. Norton, S., Wandersman, A., & Goldman, C. R. (1993). Perceived costs and benefits of membership in a self-help group: Comparisons of members and non-members of the Alliance for the Mentally Ill. Community Mental Health Journal, 29(2), 143–160.PubMedCrossRefGoogle Scholar
  15. Perreault, M., Bernier, J., Tardif, H., & Mercier, C. (1999a). L’intégration des services de sante mentale de premiere ligne: Étude du modele developpe it la Clinique communautaire de Pointe-Saint-Charles. Revue Sante Mentale au Quebec, 24(2), 28–51.Google Scholar
  16. Perreault, M., Paquin, G., Kennedy, S., Desmarais, J., & Tardif, H. (1999b). Patients’ perspective on their relatives’ involvement in treatment during a short-term psychiatric hospitalization. Social Psychiatry and Psychiatric Epidemiology, 34, 157–165.PubMedCrossRefGoogle Scholar
  17. Perreault, M., Katerelos, T. E., Sabourin, S., Leichner, P., & Desmarais, J. (2001). Information as a distinct dimension for satisfaction assessment of outpatient psychiatric services. International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services, 14, 111–120.PubMedGoogle Scholar
  18. Perreault, M., Tardif, H., Provencher, H., Paquin, G., Demarais, J., & Pawliuk, N. (2005). The role of relatives in the discharge planning from psychiatric hospitals: The perspective of patients and their relatives. Psychiatric Quarterly, 76(4), 298–315.CrossRefGoogle Scholar
  19. Perreault, M., Katerelos, T. E., Tardif, H., & Pawliuk, N. (2006). Patients’ perspectives on information received in outpatient psychiatry. Journal of Psychiatric and Mental Health Nursing, 13, 110–116.PubMedCrossRefGoogle Scholar
  20. Pickett, S. A., Greenley, J. R., & Greenberg, J. S. (1995). Off-timedness as a contributor to subjective burdens for parents of offspring with severe mental illness. Family Relations, 44, 195–201.CrossRefGoogle Scholar
  21. Prince, J. D. (2005). Family involvement and satisfaction with community mental health care of individuals with schizophrenia. Community Mental Health Journal, 41(4), 419–430.PubMedCrossRefGoogle Scholar
  22. Provencher, H. L., & Dorvil, H. (2001). Le soutien à un proche ayant la schizophrénie: Perspectives de l’aidant familial. In R. Mayer & H. Dorvil (Eds.), Nouvelles configuration des problèmes sociaux et l’intervention. Montreal, QC: Presses de l’Université du Québec.Google Scholar
  23. Reinhard, S. C., & Horwitz, A. V. (1995). Caregiver burden: Differentiating the content and consequences of family caregiving. Journal of Marriage and the Family, 57, 741–750.CrossRefGoogle Scholar
  24. Reinhard, S. C., Gubman, G. D., Horwitz, A. V., & Minsky, S. (1994). Burden assessment scale for families of the seriously mentally ill. Evaluation and Program Planning, 17, 261–269.CrossRefGoogle Scholar
  25. Ruggeri, M. (1994). Patients’ and relatives’ satisfaction with psychiatric services: The state of the art of its measurement. Social Psychiatry and Psychiatric Epidemiology, 29, 212–227.PubMedCrossRefGoogle Scholar
  26. Ruggeri, M., Lasalvia, A., et al. (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.PubMedCrossRefGoogle Scholar
  27. Solomon, P., & Draine, J. (1995). Subjective burden among family members of mentally ill adults: Relation to stress, coping and adaptation. American Journal of Orthopsychiatry, 65, 419–427.PubMedCrossRefGoogle Scholar
  28. Stengard, E., Honkonen, T., Koivisto, A.-M., & Salokangas, R. K. R. (2000). Satisfaction of caregivers of patients with schizophrenia in Finland. Psychiatric Services, 51, 1034–1039.PubMedCrossRefGoogle Scholar
  29. The Standing Senate Committee on Social Affairs, Science and Technology. (2006). Out of the shadows at last: Transforming mental health, mental illness and addiction services in Canada. Retrieved March 11, 2009 from
  30. Tsang, H. W., Tam, P. K., Chan, F., & Chang, W. M. (2003). Sources of burden on families of individuals with mental illness. International Journal of Rehabilitation Research, 26(2), 123–130.PubMedCrossRefGoogle Scholar
  31. Tung, W. C., & Beck, S. L. (2007). Family caregivers’ satisfaction with home care for mental illness in Taiwan. International Journal of Mental Health Nursing, 16, 62–69.PubMedCrossRefGoogle Scholar
  32. Vecchio, N., Stevens, S., & Cybinski, P. (2008). Caring for people with a mental disability at home: Australian carers’ perceptions of service provision. Community Mental Health Journal, 22(2), 125–134.CrossRefGoogle Scholar
  33. World Health Organization. (2001). The World Health Report 2001: Mental health: New understanding, new hope. Retrieved April 12, 2009 from
  34. World Health Organization. (2008). Integrating mental health care into primary care: A global perspective. Retrieved April 12, 2009 from

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Michel Perreault
    • 1
    Email author
  • Michel Rousseau
    • 2
  • Hélène Provencher
    • 3
  • Sarah Roberts
    • 4
  • Diana Milton
    • 5
  1. 1.Department of PsychiatryDouglas Mental Health University Institute/McGill UniversityMontrealCanada
  2. 2.Faculty of MedecineLaval UniversityQuebec CityCanada
  3. 3.Faculty of NursingLaval UniversityQuebec CityCanada
  4. 4.Université du Québec à MontréalMontrealCanada
  5. 5.Research CenterDouglas Mental Health University InstituteMontrealCanada

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