Abstract
Objective
This study compares the satisfaction with emergency interventions among severely mentally ill (SMI) service users of a community-based and a hospital-based mental health service (South-Verona, Italy and Nunhead, South-London, UK).
Methods
A measurement of the satisfaction with psychiatric emergency services was conducted among all those users in the two catchment areas who, in a 1-year period: (1) had at least two contacts with the service; (2) had a diagnosis of psychosis according to ICD10; (3) had not been living in hospital or sheltered apartment for most of the time. These users completed seven items belonging to the Verona Service Satisfaction Scale (VSSS) regarding their satisfaction with crisis response during and out of office hours and their satisfaction with the different interventions, which may be provided during emergencies, such as consultation for the user, consultation for the relative, day-centre attendance, informal and compulsory admission.
Results
Users in South-Verona were generally more satisfied with emergency interventions. The main differences between the two samples were due to contacts outside the hospital setting, whilst satisfaction scores for informal admission were similar. The number of users who did not receive, but would have liked, different types of emergency intervention was smaller in South-Verona than in Nunhead. In South-Verona, users wishes mainly concerned consultation for the relatives during emergencies; in the Nunhead sample, the most requested types of intervention were consultation for the user and the possibility of day-centre attendance during crisis.
Conclusions
The findings suggest that users of a service with a well developed community-oriented approach and with crisis intervention outside the hospital setting are more satisfied of the emergency interventions than users of a mental health service relying mostly on hospital facilities during emergencies.
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References
Larsen DL, Attkisson CC, Hargreaves WA, Nguyen TD (1979) Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann 2:197–207
Ware JE Jr, vies-Avery A, Stewart AL (1978) The measurement and meaning of patient satisfaction. Health Med Care Serv Rev 1(1):1, 3–15
Kalman TP (1983) An overview of patient satisfaction with psychiatric treatment. Hosp Community Psychiatry 34:48–54
Ruggeri M, Tansella M (1996) Individual user outcomes. In: Knudsen HC, Thornicroft G (eds) Mental health service evaluation. Cambridge University Press, Cambridge, pp 193–210
Becker MH, Drachman RH, Kirscht JP (1974) A new approach to explaining sick-role behaviour in low-income populations. Am J Public Health 64:205–216
Hurtado AV, Greenlick MR, Colombo TJ (1973) Determinants of medical care utilization. Failure to keep appointments. Med Care 11:189–198
Lebow JL (1983) Research assessing consumer satisfaction with mental health treatment: a review of findings. Eval Program Plann 6:211–236
Spensley J, Edwards DW, White E (1980) Patient satisfaction and involuntary treatment. Am J Orthopsychiatry 50:725–727
Ruggeri M (1994) Patients’ and relatives’ satisfaction with psychiatric services: the state of the art of its measurement. Soc Psychiatry Psychiat Epidemiol 29:212–227
Scott RL (2000) Evaluation of a mobile crisis program: effectiveness, efficiency, and consumer satisfaction. Psychiatr Serv 51:1153–1156
Roper JM, Manela J (2000) Psychiatric patients’ perceptions of waiting time in the psychiatric emergency service. J Psychosoc Nurs Ment Health Serv 38:18–27
Clarke P, Hafner RJ, Holme G (1997) The brief admission unit in emergency psychiatry. J Clin Psychol 53:817–823
Bassuk EL, Winter R, Apsler R (1983) Cross-cultural comparison of British and American psychiatric emergencies. Am J Psychiatry 140:180–184
Tansella M (1991) Community-based psychiatry: long-term patterns of care in South-Verona. Cambridge University Press, Cambridge
Burti L, Tansella M (1995) Acute home-based care and community psychiatry. In: Phelan M, Strathdee G, Thornicroft G (eds) Emergency mental health services in the community. Cambridge University Press, Cambridge, pp 276–297
Ruggeri M, Dall’Agnola R, Agostini C, Bisoffi G (1994) Acceptability, sensitivity and content validity of the VECS and VSSS in measuring expectations and satisfaction in psychiatric patients and their relatives. Soc Psychiatry Psychiat Epidemiol 29:265–276
Ruggeri M, Greenfield TK (1995) The Italian version of the Service Satisfaction Scale (SSS-30) adapted for community-based psychiatric patients: development, factor analysis and application. Eval Program Plann 18:202
Ruggeri M, Dall’Agnola R, Bisoffi G, Greenfield TK (1996) Factor analysis of the Verona Service Satisfaction Scale-82 and development of reduced versions. Int J Methods Psychiatr Res 6:23–28
Henderson C, Hales H, Ruggeri M (2003) Cross-cultural differences in the conceptualisation of patients’ satisfaction with psychiatric services – content validity of the English version of the Verona Service Satisfaction Scale. Soc Psychiatry Psychiatr Epidemiol 38:142–148
Segal SP, Egley L, Watson MA, Miller L, Goldfinger SM (1995) Factors in the quality of patient evaluations in general hospital psychiatric emergency services. Psychiatr Serv 46: 1144–1148
Ruggeri M, Lasalvia A, Bisoffi G, Thornicroft G, Vazquez-Barquero JL, Becker T, Knapp M, Knudsen HC, Schene A, Tansella M (2003) Satisfaction with mental health services among people with schizophrenia in five European sites: results from the EPSILON Study. Schizophr Bull 29:229–245
Gater R, Amaddeo F, Tansella M, Jackson G, Goldberg D (1995) A comparison of community-based care for schizophrenia in south Verona and south Manchester. Br J Psychiatry 166:344–352
Rossi A, Amaddeo F, Bisoffi G, Ruggeri M, Thornicroft G, Tansella M (2002) Dropping out of care: inappropriate terminations of contact with community-based psychiatric services. Br J Psychiatry 181:331–338
Ellmer R, Olbrish ME (1983) The contribution of a cultural perspective in understanding and evaluating client satisfaction. Eval Program Plann 6:257–281
Henderson C, Phelan M, Loftus L, Dall’Agnola R, Ruggeri M (1999) Comparison of patient satisfaction with community-based vs. hospital psychiatric services. Acta Psychiatr Scand 99:188–195
Tansella M, Amaddeo F, Burti L, Ruggeri M (1998) Community-based mental health care in Verona, Italy. In: Godberg D, Thornicroft G (eds) Mental health in our future cities. Psychology Press, Hove, pp 239–262
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Ruggeri, M., Salvi, G., Perwanger, V. et al. Satisfaction with community and hospital-based emergency services amongst severely mentally ill service users. Soc Psychiat Epidemiol 41, 302–309 (2006). https://doi.org/10.1007/s00127-006-0030-x
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DOI: https://doi.org/10.1007/s00127-006-0030-x