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The Journal of Behavioral Health Services & Research

02.02.2024

Patient Satisfaction with Psychological Treatment on a Voluntary Inpatient Psychiatric Unit

verfasst von: Thomas W. O’Kane, MA, Sherry D. Pujji, PhD, Anastasia Bullock, PsyD, Lucy Suokhrie, MS, BSN, RN, PMHN-BC

Erschienen in: The Journal of Behavioral Health Services & Research

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Abstract

Despite the empirical literature suggesting the benefits of providing patient support and psychotherapy, research examining patient satisfaction with psychological services integrated within inpatient psychiatric treatment settings remains scarce. A sample of 122 adults within a voluntary inpatient psychiatric unit, who were receiving psychological services completed a satisfaction questionnaire. Overall, participants reported high levels of satisfaction with psychological services and perceived them as helpful to their overall care. These results remained consistent when exploratorily examining satisfaction and helpfulness prior to and during the COVID-19 pandemic. These findings suggest the importance of integrating psychologists within inpatient psychiatric treatment settings. Future research may investigate the influence of psychological services on patient outcomes and how psychologists are perceived by other treatment team members.

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Gabrielsson S, Looi GME, Zingmark K, et al. Knowledge of the patient as decision-making power: staff members’ perceptions of interprofessional collaboration in challenging situations in psychiatric inpatient care. Scandinavian Journal of Caring Sciences, 2014; 28(4):784–792. Available at https://doi.org/10.1111/scs.12111. Accessed 1 September, 2019.

Geczy B, Sultenfuss JF. Contributions of psychologists to inpatient care of persons with chronic mental illness. Hospital & Community Psychiatry, 1994; 45(1):54–57. Available at https://doi.org/10.1176/ps.45.1.54. Accessed 10 January, 2022.

Duden GS, Gersdorf S, Stengler K. Global impact of the COVID-19 pandemic on mental health services: A systematic review. Journal of Psychiatric Research, 2022; 154:354–377. Available at https://doi.org/10.1016/j.jpsychires.2022.08.013. Accessed 9 August, 2023.

Goetz K, Kleine-Budde K, Bramesfeld A, et al. Working atmosphere, job satisfaction and individual characteristics of community mental health professionals in integrated care. Health & Social Care in the Community, 2018; 26(2):176–181. Available at https://doi.org/10.1111/hsc.12499. Accessed 10 January, 2022.

Bodenheimer T, Sinsky C. From triple to Quadruple Aim: Care of the patient requires care of the provider. Annnals of Family Medicine, 2014; 12(6):573–576. Available at https://doi.org/10.1370/afm.1713. Accessed 9 August, 2022.

Sikka R, Morath JM, Leape L. The quadruple aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 2015; 24(10):608–610. Available at https://doi.org/10.1136/bmjqs-2015-004160. Accessed 9 August, 2022.

Jabbarpour Y, De Marchis E, Bazemore A, et al. The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization. Patient-centered Primary Care Collaborative, 2017. Available at https://www.pcpcc.org/resource/impact-primary-care-practice-transformation-cost-quality-and-utilization. Accessed 24 September, 2020.

Krupski A, West II, Scharf DM, et al. Integrating primary care into community mental health centers: Impact on utilization and costs of health care. Psychiatric Services, 2016; 67(11):1233–1239. Available at https://doi.org/10.1176/appi.ps.201500424. Accessed 9 August, 2022.

Mangurian C, Niu G, Schillinger D, et al. Understanding the cost of a new integrated care model to serve CMHC patients who have serious mental illness. Psychiatric Services, 2017; 68(10):990–993. Available at https://doi.org/10.1176/appi.ps.201700199. Accessed 9 August, 2022.

10.

Pomerantz A, Cole BH, Watts BV, et al. Improving efficiency and access to mental health care: combining integrated care and advanced access. General Hospital Psychiatry, 2008; 30(6):546–551. Available at https://doi.org/10.1016/j.genhosppsych.2008.09.004. Accessed 9 August, 2022.

11.

Soberay A, Tolle LW, Kienitz E, et al. The hope health and wellness clinic: Outcomes of individuals with serious mental illness in a bidirectional integrated care clinic. Community Mental Health Journal, 2021. Available at https://doi.org/10.1007/s10597-020-00730-4. Accessed 9 August, 2022.

12.

Sharfstein SS. Goals of inpatient treatment for psychiatric disorders. Annual Review of Medicine, 2009; 60:393–403. Available at https://doi.org/10.1146/annurev.med.60.042607.080257. Accessed 1 September 2019.

13.

Wood L, Williams C, Billings J, et al. The role of psychology in a multidisciplinary psychiatric inpatient setting: Perspective from the multidisciplinary team. Psychology and Psychotherapy: Theory, Research, and Practice, 2019; 92(4):554–564. Available at https://doi.org/10.1111/papt.12199. Accessed 1 September 2019.

14.

Donat DC. Employing behavioral methods to improve the context of care in a public psychiatric hospital: Reducing hospital reliance on seclusion/restraint and psychotropic PRN medication. Cognitive and Behavioral Practice, 2002; 9(1):28–37. Available at https://doi.org/10.1016/S1077-7229(02)80036-0. Accessed 1 September 2019.

15.

American Psychological Association. What Is the Difference Between Psychologists, Psychiatrists and Social Workers? Washington, DC: 2017. Available at https://www.apa.org/ptsd-guideline/patients-and-families/psychotherapy-professionals. Accessed 12 December, 2023.

16.

Hasler G, Moergeli H, Bachmann R, et al. Patient satisfaction with outpatient psychiatric treatment: The role of diagnosis, pharmacotherapy, and perceived therapeutic change. The Canadian Journal of Psychiatry, 2004; 49(5):315–321. Available at https://doi.org/10.1177/070674370404900507. Accessed 10 January 2022.

17.

Holcomb WR, Parker JC, Leong GB, et al. Customer satisfaction and self-reported treatment outcomes among psychiatric inpatients. Psychiatric Services, 1998; 49(7):929–934. Available at https://doi.org/10.1176/ps.49.7.929. Accessed 12 January, 2022.

18.

Ruggeri M, Lasalvia A, Bisoffi G, et al. Satisfaction with mental health services among people with schizophrenia in five European sites: Results from the EPSILON study. Schizophrenia Bulletin, 2003; 29(2):229–245. Available at https://doi.org/10.1093/oxfordjournals.schbul.a007000. Accessed 8 September, 2023.

19.

Goula A, Margetis E, Stamouli MA, et al. Differences of mentally ill patients’ satisfaction degree during their involuntary or voluntary stay in a psychiatric clinic. Journal of Public Health Research, 2021; 10(3):2052. Available at https://doi.org/10.4081/jphr.2021.2052. Accessed 10 January 2022.

20.

Boyer L, Baumstarck-Barrau K, et al. Assessment of psychiatric inpatient satisfaction: A systematic review of self-reported instruments. European Psychiatry, 2009; 24(8):540–549. Available at https://doi.org/10.1016/j.eurpsy.2009.05.011. Accessed 1 March, 2023.

21.

Færden A, Bølgen B, Løvhaug L, et al. Patient satisfaction and acute psychiatric inpatient treatment. Nordic Journal of Psychiatry, 2020; 74(8):577–584. Available at https://doi.org/10.1080/08039488.2020.1764620. Accessed 10 January 2022.

22.

Druss BG, Rosenheck RA, Stolar M. Patient satisfaction administrative measures as indicators of the quality of mental health care. Psychiatric Services, 1999; 50(8):1053–1058. Available at https://doi.org/10.1176/ps.50.8.1053. Accessed 9 August, 2022.

23.

Greenwood N, Key A, Burns T, et al. Satisfaction with in-patient psychiatric services. The British Journal of Psychiatry, 1999; 174(2):159–163. Available at https://doi.org/10.1192/bjp.174.2.159. Accessed 1 September, 2019.

24.

Molin J, Vestberg M, Lövgren A, et al. Rather a competent practitioner than a compassionate healer: Patients’ satisfaction with interactions in psychiatric inpatient care. Issues in Mental Health Nursing, 2021; 42(6):549–554. Available at https://doi.org/10.1080/01612840.2020.1820645. Accessed 10 January, 2022.

25.

Hegedüs A, Kozel B, Fankhauser N, et al. Outcomes and feasibility of the short transitional intervention in psychiatry in improving the transition from inpatient treatment to the community: A pilot study. International Journal of Mental Health Nursing, 2018; 27(2):571–580. Available at https://doi.org/10.1111/inm.12338. Accessed 1 September 2019.

26.

Ådnanes M, Cresswell-Smith J, Melby L, et al. Discharge planning, self-management, and community support: Strategies to avoid psychiatric rehospitalisation from a service user perspective. Patient Education and Counseling, 2020; 103(5):1033–1040. Available at https://doi.org/10.1016/j.pec.2019.12.002. Accessed 10 January 2022.

27.

Gabrielsson S, Sävenstedt S, Zingmark K. Person-centred care: Clarifying the concept in the context of inpatient psychiatry. Scandinavian Journal of Caring Sciences, 2015; 29(3):555–562. Available at https://doi.org/10.1111/scs.12189. Accessed 16 May, 2022.

28.

Kitts RL, Gallagher K, Ibeziako P, et al. Parent and young adult satisfaction with psychiatry consultation services in a children’s hospital. Psychosomatics, 2013; 54(6):575–584. Available at https://doi.org/10.1016/j.psym.2013.01.008. Accessed 1 September, 2019.

29.

Weidmer BA, Brach C, Slaughter ME, et al. Development of items to assess patients’ health literacy experiences at hospitals for the consumer assessment of healthcare providers and systems (CAHPS) hospital survey. Medical Care, 2012; 50(9 SUPPL. 2):S12. Available at https://doi.org/10.1097/MLR.0b013e31826524a0. Accessed 1 September, 2019.

30.

Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 2009; 42(2):377–381. Available at https://doi.org/10.1016/j.jbi.2008.08.010. Accessed 1 September, 2019.

31.

Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: Building an international community of software platform partners. Journal of Biomedical Informatics, 2019; 95. Available at https://doi.org/10.1016/j.jbi.2019.103208. Accessed 1 September, 2019.

32.

Radcliffe J, Bird L. Talking therapy groups on acute psychiatric wards: Patients’ experience of two structured group formats. BJPsych Bulletin, 2016; 40(4):187–191. Available at https://doi.org/10.1192/pb.bp.114.047274. Accessed 10 January, 2022.

33.

Valenstein-Mah H, Kehle-Forbes S, Nelson D, et al. Gender differences in rates and predictors of individual psychotherapy initiation and completion among veterans health administration users recently diagnosed with PTSD. Psychological Trauma: Theory, Research, Practice, and Policy, 2019; 11(8), 811–819. Available at https://doi.org/10.1037/tra0000428. Accessed 10 January, 2022.

34.

Haskard KB, Williams SL, DiMatteo MR, et al. Physician and patient communication training in primary care: Effects on participation and satisfaction. Health Psychology, 2008; 27(5):513–522. Available at https://doi.org/10.1037/0278-6133.27.5.513. Accessed 10 January, 2022.

35.

Yalom I. Inpatient Group Psychotherapy. New York: Basic Books, 1983. Available at https://psycnet.apa.org/record/2013-04275-000. Accessed 9 August, 2023.

36.

Jacobsen P, Hodkinson K, Peters E, et al. A systematic scoping review of psychological therapies for psychosis within acute psychiatric in-patient settings. The British Journal of Psychiatry, 2018; 213(2):490–497. Available at https://doi.org/10.1192/bjp.2018.106. Accessed 10 January, 2022.

37.

Abbott A. COVID’s mental-health toll: how scientists are tracking a surge in depression. Nature, 2021; 590(7845):194–195. Available at https://doi.org/10.1038/d41586-021-00175-z. Accessed 10 January, 2022.

38.

Gloster AT, Lamnisos D, Lubenko J, et al. Impact of COVID-19 pandemic on mental health: An international study. PLoS One, 2020; 15. Available at https://doi.org/10.1371/journal.pone.0244809. Accessed 10 January, 2022.

Titel: Patient Satisfaction with Psychological Treatment on a Voluntary Inpatient Psychiatric Unit
verfasst von: Thomas W. O’Kane, MA
Sherry D. Pujji, PhD
Anastasia Bullock, PsyD
Lucy Suokhrie, MS, BSN, RN, PMHN-BC
Publikationsdatum: 02.02.2024
Verlag: Springer US
Erschienen in: The Journal of Behavioral Health Services & Research
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-024-09876-5

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