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Adolescents' perceptions of outpatient mental health services

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Abstract

Thirty-three adolescents from three mental health service settings were interviewed regarding their perceptions of the purpose, goals, expectations, frustrations and benefits of mental health experiences. They provided satisfaction ratings and importance rankings of seven domains of satisfaction: (a) Convenient/Accessible, (b) Meeting Needs, (c) Staff Competence, (d) Personal Relationship with Staff, (e) Effectiveness of Treatment, (f) Comfort/Appropriateness of Center, and (g) Costs and Paperwork. In addition, participants completed the Client Satisfaction Questionnaire (CSQ-8). Results indicated that, in general, the adolescents were very satisfied with the services they received. Gender, race/ethnicity and treatment site were not related to satisfaction scores, nor was the adolescent's perceived choice in seeking services. Some significant gender differences were found both in terms of the rankings of satisfaction domains, as well as in the adolescents' perceptions of their reasons for initiating counseling and the perceived goals and benefits of counseling. Additional differences in perceptions of services were found for treatment site and race/ethnicity. In general, adolescents were able to generate informative, sophisticated responses to questions regarding their perceptions of mental health services, and demonstrated that they are capable of evaluating services they receive.

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References

  • Attkisson, C. C., Roberts, R. E., & Pascoe, G. C. (1983). The evaluation ranking scale: Clarification of methodological and procedural issues.Evaluation and Program Planning, 6, 349–358.

    Google Scholar 

  • Bennett, M. J., & Feldstein, M. L. (1986). Correlates of patient satisfaction with mental health services in a health maintenance organization.American Journal of Preventative Medicine, 2, 155–162.

    Google Scholar 

  • Brown, E. (1979).The role of expectancy in rating of consumer satisfaction with mental health services. Unpublished doctoral dissertation. Florida State University.

  • Burns, B. (1991). Mental health service use by adolescents in the 1970's and 1980's.Journal of the American Academy of Child and Adolescent Psychiatry, 30, 144–150.

    Google Scholar 

  • Burns, B., Angold, A., & Magruder-Habib, K. (1989).Child and Adolescent Services Assessment. Durham, NC: Duke University.

    Google Scholar 

  • Byalin, K. (1993). Assessing parental satisfaction with children's mental health services: A pilot study.Evaluation and Program Planning, 16, 69–72.

    Google Scholar 

  • Corrigan, P. W. (1990). Consumer satisfaction with institutional and community care.Community Mental Health Journal, 26, 151–165.

    Google Scholar 

  • Essex, D. W., Fox, J., & Groom, J. M. (1981). The development, factor analysis, and revision of a client satisfaction form.Community Mental Health Journal, 17, 226–235.

    Google Scholar 

  • Frank, J. D. (1974).Persuasion and healing: A comparative study of psychotherapy. The Johns Hopkins University Press: New York.

    Google Scholar 

  • Ginsburg, K. R., Slap, G. B., Cnaan, A., Forke, C. M., Balsley, C. M., & Rouselle, D. M. (1995). Adolescent's perceptions of factors affecting their decisions to seek health care.Journal of the American Medical Association, 273, 1913–1918.

    Google Scholar 

  • Greenfield, T. K., & Attkisson, C. C. (1989). Steps toward a multifactorial satisfaction scale for primary care and mental health services.Evaluation and Program Planning, 12, 271–278.

    Google Scholar 

  • Greenley, J. R., & Robitscheck, C. G. (1991). Evaluation of a comprehensive program for youth with severe emotional disorders: an analysis of family experiences and satisfaction.American Journal of Orthopsychiatry, 61, 291–297.

    Google Scholar 

  • Kutash, K., Duchnowski, A., Johnson, M., & Rugs, D. (1993). Multi-stage evaluation for a community mental health system for children.Administration and Policy in Mental Health, 20, 311–322.

    Google Scholar 

  • Larson, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfactions: Development of a general scale.Evaluation and Program Planning, 2, 197–207.

    Google Scholar 

  • Lebow, J. (1982). Consumer satisfaction with mental health treatment.Psychological Bulletin, 91, 244–259.

    Google Scholar 

  • Lebow, J. (1983). Research assessing consumer satisfaction with mental health treatment: a review of findings.Evaluation and Program Planning, 6, 211–236.

    Google Scholar 

  • Loff, C. D., Trigg, L. J., & Cassels, C. (1987). An evaluation of consumer satisfaction in a child psychiatric service: Viewpoints of patients and parents.American Journal of Orthopsychiatry, 57, 132–134.

    Google Scholar 

  • Love, R. E., Caid, C. D., & Davis, A. (1979). The user satisfaction survey.Evaluation and the Health Profession, 2, 42–54.

    Google Scholar 

  • Lyons, N. P. (1988). Two perspectives: on self, relationships and morality. In C. Gilligan, J. V. Ward, & J. M. Taylor, (Eds.)Mapping the moral domain (pp. 21–48). City: Publisher.

  • Noll, G. A., & Dubinsky, M. (1984). Dimensions of satisfaction with mental health treatment.Evaluation & the Health Professions, 7, 65–75.

    Google Scholar 

  • Pascoe, G. C. & Attkisson, C. C. (1983). The evaluation ranking scale: a new methodology for assessing satisfaction.Evaluation and Program Planning, 6, 335–347.

    Google Scholar 

  • Plante, T. G., Couchman, C. E., & Diaz, A. R. (1995). Measuring treatment outcome and client satisfaction among children and families.Measuring Treatment Outcomes, 22, 261–269.

    Google Scholar 

  • Roberts, R. E., & Attkisson, C. C. (1983). Assessing client satisfaction among Hispanics.Evaluation and Program Planning, 6, 401–413.

    Google Scholar 

  • Rouse, L. W., MacCabe, N., & Toprac, M. G. (1996). Measuring satisfaction with community-based services for severely emotionally disturbed children: A comparison of questionnaires for children and parents. In C. Liberton, K. Kutash, & R. Friedman (Eds.).The 8th Annual Research Conference Proceedings, A System of Care for Children's Mental Health: Expanding the Research Base, (March 6 to March 8, 1995) (pp. 95–96). Tampa, FL: University of South Florida, Florida Mental Health Institute, Research and Training Center for Children's Mental Health.

    Google Scholar 

  • Schwab, M. E., & Stone, K. 1983. Conceptual and methodologic issues in the evaluation of children's satisfaction with their mental health care.Evaluation and Program Planning, 6, 283–289.

    Google Scholar 

  • Seiffe-Krenke, (1989). Problem intensity and the disposition of adolescents to take therapeutic advice. In M. Brambring, F. Losel, and H. Skowronek (Eds.),Children at risk: Assessment, longitudinal research, and intervention (pp. 457–477). New York: deGruyter.

    Google Scholar 

  • Sheppard, M. (1993). Client satisfaction, extended intervention and interpersonal skills in community mental health.Journal of Advanced Nursing, 18, 246–259.

    Google Scholar 

  • Tanner, B. A. (1982). A multi-dimensional client satisfaction instrument.Evaluation and Program Planning, 5, 161–167.

    Google Scholar 

  • Tolan, P., Ryan, K., & Jaffe, C. (1988). Adolescents' mental health service use and provider, process, and recipient characteristics.Journal of Clinical Child Psychiatry, 17, 229–236.

    Google Scholar 

  • Viale-Val, G., Rosenthal, R. H., Curtiss, G., & Marohn, R. C. (1984). Dropout from adolescent psychotherapy: A preliminary study.Journal of the American Academy of Child Psychiatry, 23, 562–568.

    Google Scholar 

  • Ware, J. E., Snyder, M. K., & Wright, W. R. (1976).Development and validation of scales to measure patient satisfaction with health care services: Volume 1 of a final report Part B: Results regarding scales constructed from the Patient Satisfaction Questionnaire and measures of other health care Perceptions. Carbondale IL: Southern Illinois University College of Medicine.

    Google Scholar 

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Garland, A.F., Besinger, B.A. Adolescents' perceptions of outpatient mental health services. J Child Fam Stud 5, 355–375 (1996). https://doi.org/10.1007/BF02234669

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