Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up

Adm Policy Ment Health. 2016 Sep;43(5):799-812. doi: 10.1007/s10488-015-0695-0.


This study assessed predictors and changes in adequacy of help received (AHR), as perceived by 204 individuals with severe mental disorders (SMDs) transferred from a mental health institution to the community following a key healthcare reform. Adjusted perceived AHR remained stable after 2 years (T1), but decreased at 5-year follow-up (T2). Predictors of higher adjusted perceived AHR are age, severity of needs, help received from services and relatives, and number of health professionals consulted. Community mental health services need to address the two major predictors of adjusted perceived AHR: severity of needs among individuals with SMDs and level of help from services.

Keywords: Adequacy of help received; Changes after reform; Longitudinal study; Needs assessment; Severe mental disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Community Mental Health Services / standards*
  • Deinstitutionalization*
  • Female
  • Follow-Up Studies
  • Health Care Reform*
  • Health Services Needs and Demand*
  • Humans
  • Male
  • Mental Disorders / therapy*
  • Middle Aged
  • Quality of Health Care*
  • Quebec
  • Severity of Illness Index
  • Surveys and Questionnaires

Grant support