Abstract

The aim of this study is to establish the satisfaction of patients with community-based psychiatric services, developed in the context of Italian psychiatric reform. The Verona Services Satisfaction Scale (VSSS-54) was used to measure satisfaction among 229 patients cared for by the Desio Department of Mental Health. Patients were gene rally satisfied (23 percent of the patients were unsatisfied), but in some dimensions (“Information” and “Relatives’ involvement”) they reported a low level of satisfaction. In the regression models, the sociodemographic, diagnostic, and service utilization variables explained only a low percentage of the satisfaction variance. Continuity of care and satisfaction with psychiatric services do not seem to be related; satisfaction does not predict the number of admissions to a psychiatric ward in the year after evaluation. The conclusion of the study is that satisfaction is a useful indicator in monitoring quality of care: by analyzing different dimensions of satisfaction, we can focus professionals on patients’ needs and expectation and modify the services accordingly.

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