Treatment satisfaction, perceived treatment effectiveness, and dropout among older users of mental health services

Abstract

Results from this study indicate that older adults have very good self-reported treatment outcomes. The modest influence of individual characteristics on treatment outcomes suggests the potential importance of contextual characteristics.

The Impact of Loneliness on Quality of Life and Patient Satisfaction Among Older, Sicker Adults

“…To date, no studies have considered the impact of loneliness on patient satisfaction. However, our results are consistent with other studies that have demonstrated that anxiety (Hundt et al, 2013; Stein et al, 2011) and mental health treatments (Chen et al, 2006; Hasler et al, 2004; Lippens & Mackenzie, 2011) are often associated with reduced patient satisfaction. In these studies, symptom improvement and social support played a significant role in both treatment satisfaction and perceived effectiveness (Hasler et al, 2004; Hundt et al, 2013; Lippens & Mackenzie, 2011; Shea et al, 2007).…”

Patterns of Enrollment and Engagement of Custodial Grandmothers in a Randomized Clinical Trial of Psychoeducational Interventions

“…That older CGMs were more compliant than younger CGMs is in line with findings in the mental health literature that older age is associated with lower dropout rates, presumably because older persons are more likely to trust service providers and to adhere to their recommendations (Lippens & Mackenzie, 2011). It is also likely that older CGMs give care to older CGCs, which may explain why compliance was higher at the univariate level among CGMs who were caring for older children.…”

“…Our use of Andersen’s (2008) model is consistent with that of Lippens and Mackenzie (2011), who employed it uniquely to examine treatment satisfaction and dropout among older users of mental health services. The categorization of study variables according to the Andersen model is shown in Tables 1 and 3.…”

“…Despite the absence of supporting evidence, it is tempting to conclude that compliance was positively related to use of mental health professionals because the latter were supportive of grandmothers’ participation in the present study. Finally, although we viewed positive affect as an enabling factor because less treatment dropout is typical among older adults with lower levels of personal distress (Lippens & Mackenzie, 2011), our finding that compliance was higher among CGMs with less positive affect suggests that it might be best viewed as a need factor. As widely noted in the parenting literature, caregivers are likely to find parenting a challenge even when they experience only daily hassles in the absence of explicit psychological dysfunction (see, e.g., Conley, Caldwell, Flynn, Dupre, & Rudolph, 2004).…”

“…Not examined in the present study, yet important to consider, is that treatment satisfaction also increases the likelihood of attending follow-up services (Lippens & Mackenzie, 2011). Of considerable note is our finding that greater satisfaction occurred when CGMs had a lower family income and a health problem given that these factors are typically viewed as barriers to service access and utilization (Lippens & Mackenzie, 2011; McKay, McCadam, & Gonzales, 1996). However, we purposely eliminated barriers for vulnerable CGMs by not charging for services, providing child care, serving free meals, and holding sessions in close geographic proximity to participants’ homes.…”