Components Associated with Adequacy of Help for Consumers with Severe Mental Disorders

Fleury, Marie‐Josée; Piat, Myra; Grenier, Guy; Bamvita, Jean‐Marie; Boyer, Richard; Lesage, Alain; Tremblay, Jacques

doi:10.1007/s10488-010-0292-1

Cited by 12 publications

(9 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Daytime activities help to build social networks and create friendships. According to previous studies with the CAN using factor analysis, daytime activities and company are often included in the same need factor [90,91]. Benefits are a service need but are also indirectly associated with reassurance of worth and social integration.…”

Section: Discussionmentioning

confidence: 99%

Predictors of quality of life in a longitudinal study of users with severe mental disorders

Fleury

Grenier

Bamvita

et al. 2013

Health Qual Life Outcomes

Self Cite

View full text Add to dashboard Cite

BackgroundSince the end of the 20th century, quality of life has become a key outcome indicator in planning and evaluation of health services. From a sample of 297 users with severe mental disorders from Montreal (Canada), this study aimed to identify the key predictors of subjective quality of life (SQOL).MethodsUsers were recruited and interviewed from December 2008 to September 2010 and re-interviewed approximately 18 months later. A comprehensive framework including socio-demographic data, clinical, needs and functionality variables, negative life events, social support and healthcare service use, and appreciation data were considered as predictors. Clinical records and eight standardized instruments were used.ResultsLower severity of needs, schizophrenia, better social integration, better reassurance of worth, fewer drug abuse problems, and living in supervised housing are predictors of SQOL. With regard to needs, absence or lower severity of needs in the areas of company, daytime activities, social exclusion, safety to self, and benefits are linked to SQOL.ConclusionReducing the severity of needs is especially beneficial to ensure a higher SQOL for users with severe mental disorders. To improve SQOL, priority must be given to programs and interventions that promote the development of a stimulating and supportive social network, and maintain a plurality of residential services matching the functional abilities of users.

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of quality of life in a longitudinal study of users with severe mental disorders

Fleury

Grenier

Bamvita

et al. 2013

Health Qual Life Outcomes

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, another need domain (child care) is always excluded from the factorial structure. Most of those associations have been identified in previous factor analysis studies of the CAN (Fleury et al, 2010; Korkeila et al, 2005; Slade et al, 1999; Wennström et al, 2004). …”

Section: Discussionmentioning

confidence: 78%

“…The association of the AUDIT score with decrease in both seriousness and number of needs could be explained by various efforts in nonautonomous living environments to discourage, if not even repress, alcohol use by ISMDs (Fleury et al, 2010). Conversely, ISMDs living in autonomous housing are more likely in better mental and physical health, have fewer concurrent needs, and have more money.…”

Section: Discussionmentioning

confidence: 99%

“…Because most studies use a short version of the CAN (Camberwell Assessment of Need Short Appraisal Schedule), which includes only the needs assessment section, researchers will often tend to equate moderate problems with met needs and serious problems with unmet needs (Hansson et al, 1995). By contrast, some studies using the regular CAN found that help provided could be adequate for some “unmet” needs and inadequate for some “met” needs (Fleury et al, 2010; Hansson et al, 1995; Middleboe et al, 2001). In social needs domains, for example, help is often not adequate for moderate problems such as lack of company, intimate relationships, or sexual expression (Fleury et al, 2013c).…”

mentioning

confidence: 92%

“…The CAN reliability (Cronbach’s α [CA] = 0.64) for total needs has been shown to be acceptable (McCrone et al, 2000). Some studies have shown that the needs domains within the CAN may be structured into factors (Fleury et al, 2010; Korkeila et al, 2005; Slade et al, 1999; Wennström et al, 2004). The CAN has also been adapted to specific populations with mental disorders, including pregnant women and mothers, the elderly, or individuals with learning disabilities (Durbin et al, 2010; Howard et al, 2007; Reynolds et al, 2000; Xeniditis et al, 2000).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Utility of the Montreal Assessment of Need Questionnaire for Community Mental Health Planning

Tremblay¹,

Bamvita²,

Grenier³

et al. 2014

Journal of Nervous &Amp; Mental Disease

Self Cite

View full text Add to dashboard Cite

Needs assessment facilitates mental health services planning, provision, and evaluation. This study aimed to a) validate a new instrument, the Montreal Assessment of Needs Questionnaire (MANQ), and b) use this to assess variations and predictors of need (number and seriousness) in 297 individuals with severe mental disorders for 18 months, during implementation of the Quebec Mental Health Action Plan. MANQ internal and external validations were adequate. Variables significantly associated with need number and seriousness variations were used to build multiple linear regression models. Autonomous housing, not receiving welfare, not having consulted a health educator, higher level of help from services, Alcohol Use Disorders Identification Test total score, and social support were associated with decreasing need number and seriousness over time. Having a higher education was also associated with decreasing need number. In a reform context, the MANQ’s unique ability to detect rapid improvement in patient needs has usefulness for Quebec mental health planning.

show abstract

Perceived Stigma of Patients with Severe Mental Illness in Hong Kong: Relationships with Patients’ Psychosocial Conditions and Attitudes of Family Caregivers and Health Professionals

Chien

Yeung

Chan

2012

Adm Policy Ment Health

View full text Add to dashboard Cite

This descriptive survey investigated the level of perceived stigma among Chinese patients with severe mental illness (SMI) and its relationships with patients' psychosocial conditions and family caregivers' and mental health professionals' attitudes toward SMI in Hong Kong. A clustered, random sample of 311 patients and their family caregivers and 73 Chinese professionals participated. The patients reported a high level of withdrawal/secrecy and the professionals perceived a low to moderate level of stereotype/restriction to their patients. Families' expressed emotion and caregiving burden could increase patients' perceived stigma. Strategies in de-stigmatization of mental illness have been discussed, particularly from family-based approach.

show abstract

Components Associated with Adequacy of Help for Consumers with Severe Mental Disorders

Cited by 12 publications

References 47 publications

Predictors of quality of life in a longitudinal study of users with severe mental disorders

Predictors of quality of life in a longitudinal study of users with severe mental disorders

Utility of the Montreal Assessment of Need Questionnaire for Community Mental Health Planning

Perceived Stigma of Patients with Severe Mental Illness in Hong Kong: Relationships with Patients’ Psychosocial Conditions and Attitudes of Family Caregivers and Health Professionals

Contact Info

Product

Resources

About