Fleury Marie-Josée, Grenier Guy, Bamvita Jean-Marie
Department of Psychiatry, Douglas Mental Health University Institute, McGill University, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
Douglas Mental Health University Institute, Montreal, QC, H4H 1R3, Canada.
Community Ment Health J. 2018 Jul;54(5):540-554. doi: 10.1007/s10597-017-0181-0. Epub 2017 Nov 13.
This study developed a typology describing change in the perceived adequacy of help received among 204 individuals with severe mental disorders, 5 years after transfer to the community following a major mental health reform in Quebec (Canada). Participant typologies were constructed using a two-step cluster analysis. There were significant differences between T0 and T2 for perceived adequacy of help received and other independent variables, including seriousness of needs, help from services or relatives, and care continuity. Five classes emerged from the analysis. Perceived adequacy of help received at T2 increased for Class 1, mainly comprised of older women with mood disorders. Overall, greater care continuity and levels of help from services and relatives related to higher perceived AHR. Changes in perceived adequacy of help received resulting from several combinations of associated variables indicate that MH service delivery should respond to specific profiles and determinants.
本研究建立了一种类型学，描述了加拿大魁北克省一项重大心理健康改革后，204名严重精神障碍患者在转入社区5年后所感受到的所获帮助充足性的变化。参与者类型是通过两步聚类分析构建的。在T0和T2之间，所获帮助的充足性以及其他自变量存在显著差异，包括需求的严重性、来自服务机构或亲属的帮助以及护理连续性。分析得出了五类。对于主要由患有情绪障碍的老年女性组成的第1类，T2时所感受到的所获帮助充足性有所增加。总体而言，更高的护理连续性以及来自服务机构和亲属的帮助水平与更高的所感受到的帮助充足性相关。由相关变量的几种组合导致的所获帮助充足性认知的变化表明，心理健康服务的提供应针对特定的特征和决定因素做出回应。
