Quality Assessment of Mental Health Care by People with Severe Mental Disorders: A Participatory Research Project
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.
KeywordsQuality of mental health care Community mental health services Participatory research Severe mental illness
- Bramesfeld, A., Kippel, U., Seidel, G., Schwartz, F. W., & Dierks, M. L. (2007). How do patients expect the mental health service system to act ? Testing the WHO responsiveness concept for its appropriateness in mental health care. Social Science and Medicine, 65, 880–889.PubMedCrossRefGoogle Scholar
- Ruggeri, M., & Dall’Agnola, R. (1993). The development and use of the Verona expectations for care scale (VECS) and the Verona service satisfaction scale (VSSS) for measuring expectations and satisfaction with community-based psychiatric services to patients, relatives and professionals. Psychological Medicine, 23, 511–523.PubMedCrossRefGoogle Scholar
- Smith, M. E., & Ganju, V. (2006). The MHSIP mental health quality report: The next generation of performance measures. In R. W. Manderscheid & J. T. Berry (Eds.), Mental health, United States, 2004. DHHS Pub No. (SMA)-06-4195. Rockville, MD: Substance Abuse and Mental Health Service Administration.Google Scholar