Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up.
This study assessed predictors and changes in adequacy of help received (AHR), as perceived by 204 individuals with severe mental disorders (SMDs) transferred from a mental health institution to the community following a key healthcare reform. Adjusted perceived AHR remained stable after 2 years (T1), but decreased at 5-year follow-up (T2). Predictors of higher adjusted perceived AHR are age, severity of needs, help received from services and relatives, and number of health professionals consulted. Community mental health services need to address the two major predictors of adjusted perceived AHR: severity of needs among individuals with SMDs and level of help from services.
Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada. marie-josee.fleury@douglas.mcgill.ca.
Marie-Josée
MJ
Fleury
Douglas Mental Health University Institute Research Centre, Montreal, QC, H4H 1R3, Canada.
Jean-Marie
JM
Bamvita
Douglas Mental Health University Institute Research Centre, Montreal, QC, H4H 1R3, Canada.
Guy
G
Grenier
Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
Norbert
N
Schmitz
Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
Myra
M
Piat
Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
Jacques
J
Tremblay
D000328:Adult; D003156:Community Mental Health Services / Q000592:standards*; D003688:Deinstitutionalization; D005260:Female; D005500:Follow-Up Studies; D018166:Health Care Reform; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D011787:Quality of Health Care; D011792:Quebec; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
Adequacy of help received; Changes after reform; Longitudinal study; Needs assessment; Severe mental disorders