User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction

Abstract Background and Objective To improve quality, child and adolescent mental health services (CAMHS) are expected to quantify families' views on healthcare with user satisfaction measures. As little is known about what influences satisfaction in CAMHS, this study aimed to examine predictor...

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Main Authors: Yngvild Arnesen, Kjersti R. Lillevoll, Børge Mathiassen
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Health Expectations
Subjects:
Online Access:https://doi.org/10.1111/hex.13861
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author Yngvild Arnesen
Kjersti R. Lillevoll
Børge Mathiassen
author_facet Yngvild Arnesen
Kjersti R. Lillevoll
Børge Mathiassen
author_sort Yngvild Arnesen
collection DOAJ
description Abstract Background and Objective To improve quality, child and adolescent mental health services (CAMHS) are expected to quantify families' views on healthcare with user satisfaction measures. As little is known about what influences satisfaction in CAMHS, this study aimed to examine predictors of adolescents' and parents' user satisfaction. Methods Data from 231 adolescents and 495 parents in treatment at an outpatient clinic who returned a user satisfaction measure, the Experience of Service Questionnaire (ESQ), was analyzed. Registry data on background, clinical and service characteristics were predictors for the ESQ factors general satisfaction, satisfaction with care and satisfaction with environment. Results In regression models, satisfaction with care for adolescents (r2 = .12) was significant and was predicted by low parent‐self‐reported mental health burden and low clinician‐rated overall symptom burden at intake. For parents, regression models for general satisfaction (r2 = .07), satisfaction with care (r2 = .06) and satisfaction with environment (r2 = .08) were significant. Parents general satisfaction was predicted by higher levels of hyperactivity, less family stress and longer travelling distances to the service. Satisfaction with care for parents was predicted by higher levels of hyperactivity at intake and longer travelling distances. Satisfaction with environment for parents was more likely if the adolescents was a boy, with low levels of family stress and longer travelling distances. Conclusion Predictors for adolescent and parent user satisfaction in CAMHS differ. Hence, to improve quality CAMHS should enhance focus on collaborative practice with parents, and person‐centred care for adolescents with moderate to severe mental health illness. Patient or Public Contribution Representatives from the hospitals' youth panel and the non‐governmental organization called The Change Factory have been consulted regarding study design and results.
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spelling doaj.art-0152a792602f408582270ba60e6adc572023-11-09T06:54:54ZengWileyHealth Expectations1369-65131369-76252023-12-012662608261910.1111/hex.13861User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfactionYngvild Arnesen0Kjersti R. Lillevoll1Børge Mathiassen2Department of Child and Adolescent Psychiatry, Division of Child and Adolescent Health University Hospital of North Norway Tromsø NorwayResearch Group for Clinical Psychology, Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway Tromsø NorwayDepartment of Child and Adolescent Psychiatry, Division of Child and Adolescent Health University Hospital of North Norway Tromsø NorwayAbstract Background and Objective To improve quality, child and adolescent mental health services (CAMHS) are expected to quantify families' views on healthcare with user satisfaction measures. As little is known about what influences satisfaction in CAMHS, this study aimed to examine predictors of adolescents' and parents' user satisfaction. Methods Data from 231 adolescents and 495 parents in treatment at an outpatient clinic who returned a user satisfaction measure, the Experience of Service Questionnaire (ESQ), was analyzed. Registry data on background, clinical and service characteristics were predictors for the ESQ factors general satisfaction, satisfaction with care and satisfaction with environment. Results In regression models, satisfaction with care for adolescents (r2 = .12) was significant and was predicted by low parent‐self‐reported mental health burden and low clinician‐rated overall symptom burden at intake. For parents, regression models for general satisfaction (r2 = .07), satisfaction with care (r2 = .06) and satisfaction with environment (r2 = .08) were significant. Parents general satisfaction was predicted by higher levels of hyperactivity, less family stress and longer travelling distances to the service. Satisfaction with care for parents was predicted by higher levels of hyperactivity at intake and longer travelling distances. Satisfaction with environment for parents was more likely if the adolescents was a boy, with low levels of family stress and longer travelling distances. Conclusion Predictors for adolescent and parent user satisfaction in CAMHS differ. Hence, to improve quality CAMHS should enhance focus on collaborative practice with parents, and person‐centred care for adolescents with moderate to severe mental health illness. Patient or Public Contribution Representatives from the hospitals' youth panel and the non‐governmental organization called The Change Factory have been consulted regarding study design and results.https://doi.org/10.1111/hex.13861adolescentschild and adolescent mental health servicesparentspredictorsuser satisfaction
spellingShingle Yngvild Arnesen
Kjersti R. Lillevoll
Børge Mathiassen
User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction
Health Expectations
adolescents
child and adolescent mental health services
parents
predictors
user satisfaction
title User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction
title_full User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction
title_fullStr User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction
title_full_unstemmed User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction
title_short User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction
title_sort user satisfaction in child and adolescent mental health service comparison of background clinical and service predictors for adolescent and parent satisfaction
topic adolescents
child and adolescent mental health services
parents
predictors
user satisfaction
url https://doi.org/10.1111/hex.13861
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AT børgemathiassen usersatisfactioninchildandadolescentmentalhealthservicecomparisonofbackgroundclinicalandservicepredictorsforadolescentandparentsatisfaction