Relationship of youth satisfaction with mental health services and changes in symptoms and functioning.
This study examined how youth-reported satisfaction with specialty mental health services was associated with youths' symptom and functioning change. Change in clinical functioning was assessed prospectively on the basis of parent, youth, and interviewer report for 369 youths (aged nine to 18 years at study entry) receiving mental health services. Satisfaction was assessed at two-year follow-up. The results indicated that satisfaction was only minimally associated with clinical change, and only in the case of youth-reported clinical change. Parent- and interviewer-reported change were not associated with consumer satisfaction. These results suggest that consumer satisfaction is not a good indicator of effectiveness of treatment in changing clinical functioning.
Garland
Ann F
AF
Child and Adolescent Services Research Center, Children's Hospital and Health Center, 3020 Children's Way, MC 3033, San Diego, CA 92123, USA. agarland@casrc.org
Aarons
Gregory A
GA
Hawley
Kristin M
KM
Hough
Richard L
RL
D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008329:Managed Care Programs; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services; D017060:Patient Satisfaction; D010552:Personality Assessment; D012917:Social Adjustment