title: Predictors of quality of life of people receiving intensive community-based care.
abstract: OBJECTIVE
  Intensive community-based care (ICBC) is a home-treatment approach aiming to support people 'living in the community' with severe psychiatric and addiction problems. Although subjective quality of life (SQOL) is an increasingly important outcome measure in health care, little is known on ICBC clients' SQOL.
  
  
  METHODS
  Clients of three ICBC teams (N = 523) participated in the study. Upon intake, clients filled out a SQOL measure and indicated whether they had a good friend, partner, and children, as well as their experiences with crime. Professional caregivers filled in a measure on problem severity.
  
  
  RESULTS
  Regression was used to examine to what extent the included variables contributed to explaining variance in ICBC clients' SQOL. Determinants in the model significantly predicted client SQOL and explained 37 % of the variance. 'Symptomatology' (depressive symptoms) and 'social problems' (living conditions) negatively influenced the SQOL, while having a partner, a good friend, and an overall lower problem severity positively influenced SQOL.
  
  
  CONCLUSIONS
  SQOL among ICBC clients is related to psychopathology, in contrast to previous knowledge. It is dependent upon symptom specificity, living conditions, and social circumstances and therefore presumably on program characteristics. This study provides insight into well-being among ICBC clients and is therefore relevant to involved healthcare professionals.
authors: Tranzo Department, Tilburg University, Warandelaan 2, 5000 LE, Tilburg, The Netherlands. p.emmerink@gmail.com.
authors: P M J
authors: PMJ
authors: Emmerink
authors: Tranzo Department, Tilburg University, Warandelaan 2, 5000 LE, Tilburg, The Netherlands.
authors: D P K
authors: DPK
authors: Roeg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003155:Community Mental Health Centers; D003156:Community Mental Health Services; D003863:Depression; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011788:Quality of Life / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology*; D055815:Young Adult
keywords: Assertive community treatment; Cross-sectional studies; Epidemiological determinants; Quality of life; Social determinants of health