Profiles of Service Users with Severe Mental Disorders Based on Adequacy of Help

Psychiatr Q. 2019 Sep;90(3):613-627. doi: 10.1007/s11126-019-09652-1.


This study has for aims to develop a typology describing adequacy of help based on socio-demographic, clinical and service utilization variables for 204 service users with severe mental disorders treated in the community. Study participants were recruited in an urban area of Quebec (Canada). Adequacy of help was assessed with the Montreal Assessment of Needs Questionnaire. A cluster analysis identified five profiles of service users. Adequacy of help was mainly related to continuity of care, help given by services, seriousness of needs and, to some extent, quality of life (QOL). Adequacy of help was highest among Class 3 participants, described as older individuals with mood disorders, who lived in autonomous housing and enjoyed good QOL. They received substantial help from both relatives and services. Adequacy of help was lowest for Class 5, which included individuals affected by co-occurring mental disorders but who also lived autonomously. Health service utilization was more strongly related to adequacy of help for this sample than were the socio-demographic and clinical factors tested.

Keywords: Adequacy of help received; Clusters; Service users; Severe mental disorders; Typology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cluster Analysis
  • Community Health Services
  • Female
  • Health Services Needs and Demand / statistics & numerical data*
  • Humans
  • Male
  • Mental Disorders / psychology*
  • Mental Health Services*
  • Middle Aged
  • Needs Assessment
  • Patient Acceptance of Health Care / psychology*
  • Young Adult