Does Meeting Needs Improve Quality of Life?

Slade, Mike; Leese, Morven; Ruggeri, Mirella; Kuipers, Elizabeth; Tansella, Michele; Thornicroft, Graham

doi:10.1159/000076456

Cited by 147 publications

(94 citation statements)

References 18 publications

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“…Our main longitudinal finding is that QOL at baseline accounted for 40% of variance in the same factor at follow-up. This is consistent with other longitudinal studies done in different clinical samples (Slade et al, 2004;Hansson and Bjorkman, 2007). Moreover, Landolt et al (2012), using a SEM approach in a groups of patients with a first-episode of schizophrenia, found that fewer unmet needs, higher depression, baseline QOL, age and gender (female) were all factors associated with higher QOL at follow-up.…”

Section: Longitudinal Findingssupporting

confidence: 89%

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Lanfredi

Candini

Buizza

et al. 2014

Psychiatry Research

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a b s t r a c tQuality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms' severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.

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Section: Longitudinal Findingssupporting

confidence: 89%

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Lanfredi

Candini

Buizza

et al. 2014

Psychiatry Research

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“…This hypothesis has been investigated in rather few, mainly cross-sectional studies, showing an robust association between more unmet needs and a worse subjective quality of life (4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Are factors associated with subjective quality of life in people with severe mental illness consistent over time? — A 6-year follow-up study

Hansson

Björkman

2006

Qual Life Res

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Subjective quality of life in severe mental illness 2 ABSTRACT Objective: To investigate the cross-sectional relationship between subjective quality of life and sociodemographic clinical and social factors over three points of assessment during a 6-year follow up, and to investigate longitudinal predictors of subjective quality of life. Method:We investigated a sample of people with severe mental illness (N=92), mainly with a psychosis diagnosis, at baseline and at an 18-month and 6-year follow-up. Measures Results: Cross-sectionally subjective quality of life was associated to self-reported symptoms, social network and unmet needs. However, these determinants varied in importance between points of assessment. Longitudinal predictors of subjective quality of life were changes in self-reported symptoms and social network. Conclusion:There was a rather consistent set of determinants of subjective quality of life over time. Social network seems to be an important factor with relevance for improvements in subjective quality of life, however largely overlooked in earlier studies within the field.

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“…For example, the meeting of spiritual needs has been shown, under some circumstances, to relate to positive mental health treatment outcomes (Cornah, 2006). One study which explored the relationship between community mental health service user need and quality of life found that high levels of service user-rated unmet need were associated with low subjective quality of life (Slade, Leese, Ruggeri, Kuipers, Tansella and Thornicroft, 2004). This association was found not only to be sustained over time but also enabled prediction of subjective quality of life at one-year follow-up.…”

Section: Domains Of Needmentioning

confidence: 99%

Domains of Need in a High Secure Hospital Setting: A Model for Streamlining Care and Reducing Length of Stay

Glorney

Perkins

Adshead

et al. 2010

International Journal of Forensic Mental Health

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There are financial and humanitarian consequences to unmet need amongst service users of high secure hospital care, not least in terms of length of stay. This paper presents two reviews of high secure service user needs. They provide support for the sequencing of interventions to meet service user needs and the utility of a structured framework for their review. Through analyses of these reviews, eight domains of need were identified: Therapeutic Engagement, Risk Reduction, Education, Occupational, Mental Health Recovery, Physical Health Restoration, Cultural and Spiritual Needs, Care Pathway Management. A model is presented, within which logically sequenced, timely and relevant interventions could be framed in order to provide a comprehensive and streamlined pathway through a high secure hospital. Domains of Need 3 Reducing Length of Stay in High Secure Hospital Settings: A Model for Streamlining CareThere are three high secure hospitals in England and Wales, the function of which are to provide a service to people who cannot be managed in conditions of lesser security, predominantly mentally disordered offenders (MDOs). More specifically, service users are detained under legislation which mandates assessment and treatment and emphasises public protection (Sarkar, 2010). Grounds for detention must include 'mental disorder' -any disorder or disability of mind -and a risk of harm to self or others (Mental Health Act 1983 as amended 2007. MDOs can be diverted into the Mental Health System from the Criminal Justice System at the point of contact with the police, during the pre-trial period of assessing fitness to plead, at trial, post-trial (advice on disposal prior to sentencing) and on disposal to a prison or psychiatric hospital (Wrench and Dolan, 2010). Some individuals will encounter the Criminal Justice System secondary to the Mental Health System and might find themselves transferring to facilities of increasing levels of security, through low, medium and high security. Under the Mental Health Act (1983 as amended 2007), provisions exist for MDOs to be admitted to hospital for assessment of mental disorder and risk, for offenders to be treated in hospital rather than serve a prison sentence and for prisoners to be transferred for 'urgent' treatment (for more complete descriptions of forensic mental health systems, services and concepts in England and Wales the reader is referred to Bartlett and McGauley, 2010).Broadmoor Hospital is one of three, publically-funded National Health Service (NHS), high secure hospitals in England and Wales which admit people with serious mental illness and severe personality disorders, often in combination (Adshead, 2010), who pose a serious risk of harm to themselves or others. Service users are most often referred from courts, prisons and Domains of Need 4 secure hospitals of lesser security (see Völlm, Daley and Silva, 2009 for further description) and most commonly have restrictions on their movement and liberty at the discretion of the Ministry of Justice (the gov...

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Does Meeting Needs Improve Quality of Life?

Cited by 147 publications

References 18 publications

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Are factors associated with subjective quality of life in people with severe mental illness consistent over time? — A 6-year follow-up study

Domains of Need in a High Secure Hospital Setting: A Model for Streamlining Care and Reducing Length of Stay

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