User satisfaction in child and adolescent mental health service

Comparison of background, clinical and service predictors for adolescent and parent satisfaction

Bibliographic Data

ID19508495
AuthorsYngvild Arnesen (0000-0001-9718-0017, Department of Child and Adolescent Psychiatry, Division of Child and Adolescent Health University Hospital of North Norway Tromsø Norway, corresponding author), Kjersti R Lillevoll (Research Group for Clinical Psychology, Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway Tromsø Norway), Kjersti Lillevoll (0000-0003-1951-4418, UiT The Arctic University of Norway), Børge Mathiassen (Department of Child and Adolescent Psychiatry, Division of Child and Adolescent Health University Hospital of North Norway Tromsø Norway)
Year2023
Volume26
Issue6
Pages2608-2619
Publication date2023-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13861
PMID37650556
OpenAlexW4386305658
LanguageEN
Citations received1
References cited50

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 ( r 2 = .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 ( r 2 = .07), satisfaction with care ( r 2 = .06) and satisfaction with environment ( r 2 = .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

Family medicine · Mental health · Mental health service · Patient satisfaction · Psychiatry · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology

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