User satisfaction with child and adolescent mental health services: impact of the service unit level.

Social Psychiatry and Psychiatric Epidemiology
Johan Håkon BjørngaardKetil Hanssen-Bauer

Abstract

Child and adolescent mental health service units (CAMHS) play an important role in the supply of services to children and adolescents with mental illness. The purpose of this study was to examine the service unit effect on parent satisfaction with outpatient treatment. The study was undertaken in 49 of 72 Norwegian outpatient CAMHS in 2004. A total of 2253 of the parents who were asked to participate (87%) responded. Parent satisfaction was measured using two summated scales: clinician interaction/information and treatment outcome. Multilevel analyses were used to assess the contribution of the service units to satisfaction and to investigate patient level predictors of parent satisfaction. About 96-98% of the parent satisfaction variance could be attributed to factors within CAMHS, leaving only 2-4% of the variance attributable to the CAMHS level. Parents of patients aged 0-6 years were more satisfied than older patients' parents. Longer treatment episodes were positively associated with satisfaction. Parents whose children had been referred with externalizing symptoms were less satisfied with treatment outcome than those referred for internalizing symptoms. Waiting time was negatively associated with treatment outcome satisfa...Continue Reading

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Citations

Mar 10, 2009·Social Psychiatry and Psychiatric Epidemiology·Andrew ShivaJeannie Brooks
Oct 13, 2009·Current Opinion in Psychiatry·Torleif Ruud
Sep 30, 2009·BMC Health Services Research·Johan Håkon BjørngaardEllen Kjelsberg
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Jun 6, 2021·Clinical Child Psychology and Psychiatry·Louise MansellJason Smith
May 15, 2019·Journal of Psychiatric Practice·Evelyn ChoLaine Young-Walker

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