ACCESSIBLE SUMMARY: Patients' satisfaction is scarcely studied within the context of community treatment for adolescents. Thus, this study adopts a multiple perspective on patients' satisfaction (including service users as well as staff members). The results highlighted that all informants (patients, foster carers in foster homes and professional caregivers from community treatment teams) perceived the patients to be satisfied, with foster carers reporting the highest patient satisfaction rate. Considering the patient satisfaction rate from multiple perspectives provides complementary understandings. Clinical outcomes and, specifically, a reduction in emotional difficulties were related to patient's satisfaction, but only from the patients' perspective. ABSTRACT: Community treatment (CT) teams in Switzerland provide care to patients who are unable to use regular child and adolescent mental health services (i.e. inpatient and outpatients facilities). No study has considered patients' self-rated satisfaction alongside with staff members' perspectives on patient satisfaction. Thus, adopting a cross-sectional survey design, we collected patients' satisfaction using the Client Satisfaction Questionnaire (CSQ-8), rated by multiple informants (patients, foster carers in foster homes and professional caregivers from CT teams). Professional caregivers assessed clinical outcomes using the Health of the Nation Outcome Scale for Children and Adolescents. The results indicated that all informants were satisfied with the community treatment teams. The satisfaction scores were not correlated across informants; however, the alleviation of emotional symptoms was correlated with patients' satisfaction. This study indicated that the use of a combined approach including the views of service users and professionals gives important complementary information. Finally, in our sample, lower emotional symptoms were linked to enhanced patient satisfaction. This study demonstrated the importance of considering multiple perspectives to obtain the most accurate picture of patients' satisfaction. Second, focusing on the reduction of emotional symptoms might lead to a higher degree of patients' satisfaction.
Caregivers/statistics & numerical data , Community Mental Health Services/statistics & numerical data , Foster Home Care/statistics & numerical data , Outcome Assessment, Health Care/statistics & numerical data , Patient Satisfaction/statistics & numerical data , Adolescent , Child , Community Mental Health Services/standards , Cross-Sectional Studies , Humans , Pilot Projects
The main objective of this project about mobile team service extension to the socio-educational home of the whole Vaud canton targets to decompartmentalize the socio-educational and youth-psychiatry domains. 64 patient were assessed during this pilot phase (after one-year functioning). In addition, a satisfaction survey was done either at the end of the follow up or at the end of the pilot phase of the project (31.12.2012). This experience was very positive as highlighted by the vast majority of the person involved in the socio-educational and youth-psychiatric domains taking care of youth. A desire of extension of mobile team service to other institutional structure or other situations was expressed.
Case Management , Community Mental Health Services/methods , Mental Disorders/therapy , Mobile Health Units , Adolescent , Female , Humans , Male , Pilot Projects , Switzerland
As it is the case in other European countries, substance use and misuse is increasing among teenagers in Switzerland. This fact is worrying, and requires the application of specific primary and secondary prevention programs to this population, particularly in schools. The pilot-study DEPART makes available to network professionnals, as well as to adolescents (12 to 20 years old) and their family, an interdisciplinary team that provides specific support for substance use and misuse among teenagers. Thus, this pilot-study, which is currently being carried out in and around the city of Lausanne, aims at the early identification and treatment of adolescents in schools (secondary prevention).
School Health Services , Substance-Related Disorders/prevention & control , Adolescent , Humans , Switzerland
