Determinates of youth and parent satisfaction in usual care psychotherapy

Abstract

Objective-Client satisfaction with mental health services is used commonly as an indicator of the quality of care, but there is minimal research on the construct of client satisfaction in youth services, and the extent to which satisfaction is related to improvements in clinical functioning versus other determinants. We examined the relationship between parent and youth satisfaction with youth services, and tested for significant determinants of satisfaction across three major domains: (1) change in youth clinical functioning; (2) youth/family service entry characteristics; (3) treatment/ therapist characteristics.Method-The participants were 143 youths receiving community-based out-patient care. Youths and parents were interviewed at service entry and six months later using well-established measures of clinical functioning and service satisfaction.Results-Youths and parents reported generally high satisfaction, but the correlation between them was low. Despite testing for many potential predictors of satisfaction, very few significant effects were found. In regression analyses of significant predictors of satisfaction, higher youth satisfaction was significantly associated with Caucasian ethnicity and more positive youth expectations about treatment. Higher parent satisfaction was associated with lower caregiver strain at service entry, increased number of sessions, and improvement in youth-reported functional impairment.

Parental Experiences of Supporting Children with Clinically Significant Post-Traumatic Distress: a Qualitative Study of Families Accessing Psychological Services

“…Recent research has extolled the importance of parental engagement in child psychological treatment post-trauma (Cobham et al 2016) and parent and child satisfaction with services is strongly associated with treatment completion and functional improvement (Garland et al 2007;Oruche et al 2014;Ronzoni and Dogra 2012). Therefore, clinical care and psychological interventions may be enhanced by the inclusion of targeted information and advice for families engaged with psychological services following child trauma exposure.…”

The views of lesbian, gay and bisexual youth regarding computerised self-help for depression: An exploratory study

“…the proposed consumers). This was done because consumers should be routinely involved in the planning and development of mental health interventions (Anthony & Crawford, 2000;Crawford et al, 2002), however this consumer participation is often lacking (Anthony & Crawford, 2000;Garland, Haine, & Lewczyk Boxmeyer, 2007;Hutton, 2005).…”

Satisfação dos familiares com os serviços de saúde mental para crianças e adolescentes: uma revisão sistemática

“…Seis estudos 16,[18][19][20][21]24 reportaram apenas satisfação, enquanto em três estudos 17,22,23 o resultado global foi de muita satisfação.…”

“…Os fatores mais investigados pelos estudos foram: gravidade dos sintomas apresentados pela criança ou adolescente 17,19,22,24 ; dados clínicos do paciente 16,17,20 , como diagnóstico, idade do diagnóstico, uso de medicação; frequência no serviço 16,18,23 ; e características do serviço, como presença de atendimento familiar 20,23,24 . Entre os elementos associados com a satisfação, foram encontrados fatores que dizem respeito ao paciente: idade, frequência no serviço, gravidade dos sintomas e diagnóstico de retardo mental; fatores que dizem respeito ao serviço: qualidade de atendimento individual (segundo avaliação dos familiares) e presença de atendimento familiar; e fatores relacionados à família: nível educacional, cor branca dos familiares, sobrecarga e envolvimento com as atividades no serviço.…”