Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study

Abstract

Background 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. Methods Cross-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. Results A 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. Conclusions Satisfaction 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 registration NCT03271242, date of registration: 5 sept. 2017.

Perceived Support for Recovery and Level of Functioning Among People With Severe Mental Illness in Central and Eastern Europe: An Observational Study

“…The degree of functional limitations (measured with WHODAS 2.0) in the sample was comparable with other study populations with severe mental illness ( 44 , 53 ). In this study, participants indicated the highest degree of functional limitation in the domains participation in society, work , and household , followed by getting along with people .…”

“…Our study showed that service users across sites were generally satisfied with the support received from their mental health care providers. A recent study from Norway which also used the INSPIRE tool found that service users who experienced higher perceived support for personal recovery from their health care provider are more satisfied with the care they receive ( 53 ). Nevertheless, there is room for improvement across all centers of the project.…”

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“…QoL is defined by the World Health Organization as “an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns” [ 15 ]. In health science, an increasing amount of importance is given to this concept as it might better represent the recovery processes than solely relying on symptoms [ 16 , 17 , 18 ]. Indeed, improvements in psychiatric symptomatology do not always translate to actual change in an individual’s life, or in their perception of how they experience life [ 19 ].…”