Citation

Fleury MJ, Grenier G, Bamvita JM. Community Ment. Health J. 2018; 54(5): 540-554.

Affiliation

Douglas Mental Health University Institute, Montreal, QC, H4H 1R3, Canada.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10597-017-0181-0

PMID

29134396

Abstract

This study developed a typology describing change in the perceived adequacy of help received among 204 individuals with severe mental disorders, 5 years after transfer to the community following a major mental health reform in Quebec (Canada). Participant typologies were constructed using a two-step cluster analysis. There were significant differences between T0 and T2 for perceived adequacy of help received and other independent variables, including seriousness of needs, help from services or relatives, and care continuity. Five classes emerged from the analysis. Perceived adequacy of help received at T2 increased for Class 1, mainly comprised of older women with mood disorders. Overall, greater care continuity and levels of help from services and relatives related to higher perceived AHR. Changes in perceived adequacy of help received resulting from several combinations of associated variables indicate that MH service delivery should respond to specific profiles and determinants.

Language: en

Keywords

Care continuity; Cluster analysis; Perceived adequacy of help received; Severe mental disorders