title: Do Mental Health Outpatient Services Meet Users' Needs? Trial to Identify Factors Associated with Higher Needs for Care.
abstract: The study was conducted to investigate the extent to which services meet patients' needs and identify the factors associated with higher needs. 174 outpatients were assessed using CANSAS, BPRS and GSDS. The total number of unmet needs in persons with psychotic, eating, personality and affective disorders was higher than in patients with anxiety disorders. Being single, positive symptoms, depression/anxiety, hospitalizations and high social disability accounted for 50 % of the variance in level of unmet need. Persons with eating and personality disorders reported similar level of unmet needs to those with psychotic and affective disorders. The best correlates of unmet needs were depression/anxiety and social disability.
authors.affiliation: Department of Psychiatry, Wrocław Medical University, ul. Pasteura 10, 50-367, Wrocław, Poland. edobrzynska@poczta.fm.|Cygnet Hospital Kewstoke, Beach Road, Weston-super-Mare, BS22 7FD, UK. edobrzynska@poczta.fm.
authors.forename: Ewelina
authors.initials: E
authors.lastname: Dobrzynska
authors.affiliation: Department of Psychiatry, Wrocław Medical University, ul. Pasteura 10, 50-367, Wrocław, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Rymaszewska
authors.affiliation: Department of Psychiatry, Wrocław Medical University, ul. Pasteura 10, 50-367, Wrocław, Poland.
authors.forename: Przemyslaw
authors.initials: P
authors.lastname: Biecek
authors.affiliation: Department of Psychiatry, Wrocław Medical University, ul. Pasteura 10, 50-367, Wrocław, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kiejna
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000592:standards; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000592:standards; D020380:Needs Assessment
keywords: Mental disorders; Needs; Outpatient mental health services; Social functioning