Hospitalized African American mental health consumers: Some antecedents to service satisfaction and intent to comply with aftercare
This study evaluated antecedents to (a) African Americans' satisfaction with inpatient mental health service provision, (b) their willingness to attend aftercare appointments on discharge from the hospital, and (c) their primary therapists' satisfaction with the services they provided. Subjects were 121 African Americans recruited from the admissions unit of a psychiatric hospital serving a rural southern population. Results indicated that determinants of satisfaction with service provision included increased quality of life and perceived empathy. The only significant determinant of intent to comply with aftercare was perceived staff empathy. For the primary therapists, quality of life was positively related to service satisfaction, whereas low levels of symptom improvement and perceived empathy were negatively related to service provision satisfaction.
Available from: Bradley Stein
- "et al., 2001), we found that African-Americans were significantly less likely to receive timely follow-up care following detoxification and residential treatment discharge, and that those individuals who received such follow-up care had significantly shorter treatment episodes. Efforts to enhance engagement and retention of African-Americans following detoxification and residential treatment might consider addressing the cultural competency of providers (Anderson et al., 2003; New Freedom Commission on Mental Health, 2003; Taylor and Lurie, 2004), as well as other factors, such as perceived clinician empathy, which appear to influence whether individuals seek and stay in follow-up care (Gillispie et al., 2005). "
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ABSTRACT: Substance use disorders are chronic disorders with substantial public health significance, yet the treatment provided is often episodic despite ongoing need. Among the more severely ill individuals requiring detoxification or residential treatment, little empirical information is available about rates and predictors of subsequent engagement in necessary subsequent treatment.
Using administrative data from the largest Medicaid managed behavioral health organization in a large mid-Atlantic state, we used multivariate regression to examine rates and predictors of subsequent treatment engagement and retention following new episodes of detoxification or residential substance abuse treatment among 5670 Medicaid-enrolled adults during 2004-2006.
Slightly less than half (49%) of the sample received follow-up care within 30 days of discharge. Rates of follow-up were significantly higher in individuals with a serious mental illness, and significantly lower in African-American individuals, males, individuals with disabilities, and those who received detoxification without residential treatment. The mean duration of follow-up treatment was 84 days, and was longer among individuals with a serious mental illness and Caucasians. Even after controlling for individuals' sociodemographic and clinical characteristics, there was substantial variation in follow-up rates among discharging providers.
The relatively low rates of follow-up care and relatively brief duration of treatment for many of those who received such follow-up care are concerning in a population receiving substance abuse detoxification or residential treatment. The markedly lower rates among those receiving detoxification alone without subsequent residential treatment and among those without a comorbid serious mental illness suggest that efforts specifically targeting those individuals may be of particular benefit.
Drug and alcohol dependence 06/2009; 104(1-2):100-6. DOI:10.1016/j.drugalcdep.2009.04.008 · 3.42 Impact Factor
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ABSTRACT: The relationship between quality of care and patient satisfaction has been documented. The specific research aim related to this study is to determine if differences exist among Caucasians, Asians, and Pacific Islanders who are hospitalized for an acute mental illness with regard to their perceived satisfaction with the care. The results of the overall study have been reported elsewhere. The sample was composed of 138 patients, of whom 34.7% were Caucasian, 31.2% Pacific Islanders, and 34.8% Asians. Within 24 hours of discharge, patients completed the Perceptions of Care instrument. Caucasians were over-represented in our sample in comparison to their percentage in the general population of Hawaii. These patients were significantly more satisfied (p = .04) with their care than the other ethnic groups. No single variable was found to specifically indicate why they were more satisfied than Pacific Islanders and Asians.
Issues in Mental Health Nursing 04/2007; 28(3):297-308. DOI:10.1080/01612840601174094
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ABSTRACT: Consumer satisfaction with inpatient care is an important component of quality of care and a recovery-oriented system of care. This study assessed association of patient, demographic and process of care variables with inpatient satisfaction focusing on modifiable service delivery factors. Participants were 136 people with psychotic or affective disorders recruited from VA inpatient units who were interviewed with an extensive assessment. Staff teaching efforts regarding medication, illness management, substance abuse, outpatient treatment and living skills were significantly associated with greater levels of satisfaction with care, controlling for demographic and clinical variables. This may reflect value consumers place on staff time, attention and communication. Teaching may enhance self-efficacy and hope thereby facilitating recovery.
Community Mental Health Journal 01/2008; 43(6):551-64. DOI:10.1007/s10597-007-9098-3 · 1.03 Impact Factor
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