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Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up

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Abstract

This study assessed predictors and changes in adequacy of help received (AHR), as perceived by 204 individuals with severe mental disorders (SMDs) transferred from a mental health institution to the community following a key healthcare reform. Adjusted perceived AHR remained stable after 2 years (T1), but decreased at 5-year follow-up (T2). Predictors of higher adjusted perceived AHR are age, severity of needs, help received from services and relatives, and number of health professionals consulted. Community mental health services need to address the two major predictors of adjusted perceived AHR: severity of needs among individuals with SMDs and level of help from services.

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Acknowledgments

The study was funded by the Canadian Institute of Health Research (CIHR). We would like to thank this grant agency and all the individuals who participated in the research.

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Authors and Affiliations

  1. Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada

    Marie-Josée Fleury, Norbert Schmitz, Myra Piat & Jacques Tremblay

  2. Douglas Mental Health University Institute Research Centre, Montreal, QC, H4H 1R3, Canada

    Jean-Marie Bamvita & Guy Grenier

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  1. Marie-Josée Fleury
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  2. Jean-Marie Bamvita
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  3. Guy Grenier
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  4. Norbert Schmitz
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  5. Myra Piat
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  6. Jacques Tremblay
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Correspondence to Marie-Josée Fleury.

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Fleury, MJ., Bamvita, JM., Grenier, G. et al. Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up. Adm Policy Ment Health 43, 799–812 (2016). https://doi.org/10.1007/s10488-015-0695-0

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