Patients' Needs for Care in Public Mental Health: Unity and Diversity of Self-Assessed Needs for Care.

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Version: author
Serval ID
serval:BIB_8C24E0F3930A
Type
Article: article from journal or magazin.
Collection
Publications
Title
Patients' Needs for Care in Public Mental Health: Unity and Diversity of Self-Assessed Needs for Care.
Journal
Frontiers In Public Health
Author(s)
Bellier-Teichmann T., Golay P., Bonsack C., Pomini V.
ISSN
2296-2565 (Electronic)
ISSN-L
2296-2565
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
4
Pages
22
Language
english
Notes
Publication types: Journal Article Publication Status: epublish
Abstract
PURPOSE: Needs assessment is recognized to be a key element of mental health care. Patients tend to present heterogeneous profiles of needs. However, there is no consensus in previous research about how patients' needs are organized. This study investigates both general and specific dimensions of patients' needs for care.
METHODS: Patients' needs were assessed with ELADEB, an 18-domain self-report scale. The use of a self-assessment scale represents a unique way of obtaining patients' perceptions. A patient-centered psychiatric practice facilitates empowerment as it is based on the patients' personal motivations, needs, and wants. Four seventy-one patients' profiles were analyzed through exploratory factor analysis.
RESULTS: A four-factor bifactor model, including one general factor and three specific factors of needs, was most adequate. Specific factors were (a) "finances" and "administrative tasks"; (b) "transports," "public places," "self-care," "housework," and "food"; and (c) "family," "children," "intimate relationships," and "friendship."
CONCLUSION: As revealed by the general factor, patients expressing urgent needs in some domains are also more susceptible to report urgent needs in several other domains. This general factor relates to high versus low utilizers of public mental healthcare. Patients also present specific needs in life domains, which are organized in three dimensions: management, functional disabilities, and familial and interpersonal relationships. These dimensions relate to the different types of existing social support described in the literature.
Pubmed
Open Access
Yes
Create date
04/03/2016 18:18
Last modification date
20/08/2019 15:50
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