Patient satisfaction with mental health services: A meta-analysis to establish norms

1983 ◽  
Vol 6 (3-4) ◽  
pp. 265-274 ◽  
Author(s):  
Anthony F. Lehman ◽  
Thomas R. Zastowny
2017 ◽  
Vol 63 (2) ◽  
pp. 103-114 ◽  
Author(s):  
Marilyn Fortin ◽  
Jean-Marie Bamvita ◽  
Marie-Josée Fleury

Objective: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. Methods: This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records. A 3-factor conceptual framework (predisposing, enabling, and needs-related factors) based on Andersen’s Behavioral Model was used, integrating sociodemographic, clinical, needs-related, service utilization, social support, and quality-of-life (QOL) variables. An adjusted multiple linear regression model was performed. Results: The global mean score for patient satisfaction was 4.11 (minimum: 2.0; maximum: 5.0). Among the enabling factors, continuity of care, having a case manager, and help received from services were positively associated with patient satisfaction, whereas being hospitalized was negatively associated. Among the needs-related factors, the number of needs was negatively associated with satisfaction. Conclusions: Findings demonstrated higher levels of satisfaction among patients who received good continuity of care and well-managed, frequent services in relation to their needs. Dissatisfaction was higher for patients with serious unmet needs or those hospitalized, which underlines the importance of taking these particular variables into account in the interest of improving MHS delivery and patient recovery.


2019 ◽  
Vol 30 (4) ◽  
pp. 422-432
Author(s):  
Sunyoung Park ◽  
Samantha Guz ◽  
Anao Zhang ◽  
S. Natasha Beretvas ◽  
Cynthia Franklin ◽  
...  

Purpose: The increasing need for school-based mental health services has altered teachers’ involvement in mental health services. Methods: This study presents a meta-analysis from a previous systematic review to identify which study characteristics result in effective treatment outcomes. Specific treatment characteristics analyzed in this study include type of intervention, treatment modality, length of treatment, and type of measurement. Effect sizes were coded by internalizing and externalizing disorders, depending on the symptoms the corresponding treatments were intended to address. A final sample size included 9 independent effect sizes of internalizing behaviors and 21 effect sizes of externalizing behaviors. Results: Internalizing disorders, social skill interventions, classroom modalities, and medium treatment length were moderating treatment characteristics. No significant effects were found for externalizing disorders. Conclusions: These results further add to the research on teacher’s role in school-based mental health services and provide important information for social workers who work in schools.


2018 ◽  
Vol 69 (7) ◽  
pp. 751-759 ◽  
Author(s):  
Fredrik A. Walby ◽  
Martin Øverlien Myhre ◽  
Anine Therese Kildahl

1988 ◽  
Vol 14 (9) ◽  
pp. 284-289 ◽  
Author(s):  
Thomas R. Zastowny ◽  
Anthony F. Lehman

Author(s):  
Amanda L. Sanchez ◽  
Danielle Cornacchio ◽  
Bridget Poznanski ◽  
Alejandra M. Golik ◽  
Tommy Chou ◽  
...  

2001 ◽  
Vol 29 (4) ◽  
pp. 513-531 ◽  
Author(s):  
Arthur L. Whaley

The underutilization of mental health services by African Americans may be due, in part, to their cultural mistrust. The purpose of this article is twofold: (a) to conduct a meta-analysis of the correlations between cultural mistrust in African Americans and their attitudes and behaviors related to mental health services use, comparing them to the correlations between cultural mistrust and measures relevant to other psychosocial domains, and (b) to test some methodological hypotheses about the Cultural Mistrust Inventory, the most popular measure of cultural mistrust. The meta-analysis suggests that the negative effects of Blacks’ cultural mistrust in interracial situations are not unique to counseling and psychotherapy but represent a broader perspective. The meta-analysis also suggests that development of the Cultural Mistrust Inventory with a male-only college sample did not compromise its external validity. The implications of these results for the provision of mental health services to African Americans are discussed.


Author(s):  
Maryana Guimarães de Morais ◽  
Isabella Morais Arantes de Oliveira e Silva ◽  
Estela Ribeiro Versiani ◽  
Claudia Cardoso Gomes da Silva ◽  
Ana Socorro de Moura

Abstract: Introduction: Considering the high prevalence of mental health problems among medical students, medical schools should be ethically committed to promote student’s mental health, offering health services and prevention strategies. Objective: The objective of this systematic review is to identify scientific publications on mental health services offered by Brazilian universities to medical students, as well as the professionals involved and the types of interventions most often offered. Method: Systematic literature review, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The Scielo, PubMed/Medline, Lilacs, ERIC, The Cochrane Library and CAPES databases were searched for studies published until August 2020, as well as theses and dissertations. The studies were screened, selected, analyzed and relevant data were extracted by two independent reviewers. Results: 16 studies were included. The identified mental health services resort to different strategies towards a common goal of promoting medical students’ mental health. The interventions most frequently found in these services are brief psychotherapy, psychiatric care, psychological-educational guidance and mentoring programs. Most services were created to attend medical students and some of these have been extended to other undergraduate students. In the analyzed services, there is a predominance of multidisciplinary teams, which differ regarding the number and categories of professionals involved. Conclusion: Mental health support services for medical students in Brazil differ both in terms of how they work within the institutions and in terms of the involved professionals. It was observed that publications on these services are scarce when compared to the number of institutions that offer the undergraduate medical course in Brazil. Aiming to expand and consolidate actions aimed at promoting medical students’ mental health in Brazilian higher education institutions, further research on this topic is required.


2020 ◽  
Author(s):  
Raffaele Mazziotti ◽  
Grazia Rutigliano

BACKGROUND The COVID-19 pandemic threatens to impact mental health, while disrupting access to care, due to physical distance measures and to the unexpected pressure on public health services. Telemental health (TM) was rapidly implemented to deliver healthcare services. OBJECTIVE The aims of this study were: i) to present state-of-the-art TM research; ii) to survey mental health providers about care delivery during the pandemic; iii) to assess patient satisfaction with TM. METHODS Document clustering was applied to map research topics within TM research. A survey was circulated among mental health providers. Patient satisfaction was investigated through a meta-analysis of studies retrieved from Web of KnowledgeSM and Scopus® comparing satisfaction scores between TM and face-to-face (FtF) interventions for mental health disorders. Hedges’ g was used as effect size measure. Effect sizes were pooled using a random-effect model. Sources of heterogeneity and bias were sought. RESULTS Evidence about TM has been accumulating since 2000’, especially regarding service implementation, depressive/anxiety disorders, post-traumatic stress disorder, and special populations. Research was concentrated in a few countries. The survey (n=174 respondents from Italy, n=120 international) confirmed that, after the onset of COVID-19 outbreak, there was a massive shift from FtF to TM delivery of care. However, respondents held skeptical views about TM, and did not feel sufficiently trained and satisfied. Meta-analysis of 29 studies (n=2143) showed that patients would be equally satisfied with TM as compared to FtF (Hedges’ g=-0,001, 95% CI: -0,116-0,114, p=0,985, Q=43,83, I2=36%, p=0,029), if technology-related issues were minimized. CONCLUSIONS Mental health services equipped with TM will be more able to successfully cope with public health crises. Both providers and patients need to be actively engaged in digitization, to re-shape their reciprocal trust around technological innovations. CLINICALTRIAL The protocol was registered in PROSPERO [registration number: CRD42020192299].


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