Abstract
BackgroundMental health policy internationally emphasizes patient centredness and personal recovery. This study investigated the relationship between satisfaction with mental health services among service users with psychosis in Norway, and personal recovery, perceived support for personal recovery, and quality of life.MethodsCross-sectional data were collected from 292 service users diagnosed with psychosis from 39 clinical sites across Norway. Satisfaction with services was assessed using the Client Satisfaction Questionnaire-8. A linear mixed model was estimated to explore the relationship between satisfaction with services and preselected covariates, and to control for confounding factors.ResultsA large majority of participants (89%) reported moderate-to-high levels of satisfaction. Satisfaction with services was positively associated with perceived support for personal recovery, but not with personal recovery or quality of life. In addition, service users under a Community Treatment Order (CTO) were significantly less satisfied than those who were not.ConclusionsSatisfaction levels among service users were higher compared with similar, international studies. Those who feel supported in their personal recovery were more satisfied with the care they receive, which support the need for implementation of recovery-oriented practices for service users with psychosis. However, satisfaction with services was not related to service user-rated quality of life or level of personal recovery; thus, more follow-up studies are needed. The lower satisfaction of service users placed under CTOs shows the importance of targeted interventions to improve satisfaction with services among this group.Trial registrationNCT03271242, date of registration: 5 sept. 2017.
Highlights
Mental health policy internationally emphasizes patient centredness and personal recovery
Fifty-three per cent had a diagnosis of schizophrenia and 13% were under Community Treatment Order (CTO)
Satisfaction with services was positively associated with perceived support for personal recovery, while personal recovery and quality of life were not significantly associated with service satisfaction
Summary
Mental health policy internationally emphasizes patient centredness and personal recovery. This study investigated the relationship between satisfaction with mental health services among service users with psychosis in Norway, and personal recovery, perceived support for personal recovery, and quality of life. Satisfaction with services is widely regarded as an important process variable and quality indicator in mental health care [1, 2]. Satisfaction with services can be influenced by user characteristics and by treatment and services aspects [4]. Higher symptom level (especially more depressive symptoms), personality disorder diagnosis, and lower self-reported quality of life have been found to be associated with less satisfaction with care [5]. Only coercive treatment and a perceived negative therapeutic relationship have been consistently found to impact satisfaction with care [1, 3]. Overall, when evaluating satisfaction with services, the identified confounders are age, legal status of treatment, and severity of illness or symptoms, depressive symptoms [1]
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