Professional Service Utilisation among Patients with Severe Mental Disorders

Table 1 Predisposing, enabling and need factors and service utilisation characteristics (n = 140)

				Frequency	Percent
Predisposing factors		Importance attributed to service accessibility in terms of opening hours	Very important	33	23.6
Enabling factors	Amount of help from services for (mean, SD):	functioning needs		2.4	1.2
		information and utility needs		2.0	0.9
		social needs		1.9	0.9
	Amount of help from relatives for:	global needs		5.6	3.2
		social needs		1.8	1.09
	Duration of follow-up (in years) by (mean, SD):	psychiatrist		3.01	1.42
		general practitioner (GP)		1.78	2.04
		case manager		2.12	1.45
	Satisfaction with regard to:	geographic accessibility	Very satisfied	34	24.3
		diversified service accessibility	Very satisfied	28	20.0
		waiting time to receive help	Very satisfied	27	19.3
	Satisfaction with ease of accessing a:	GP	Very satisfied	22	15.7
		psychiatrist	Very satisfied	27	19.3
		case manager	Very satisfied	29	20.7
Need factors	Number of	global needs (mean, SD)		5.9	3.6
		serious needs (mean, SD)		1.9	2.1
		health needs (mean, SD)		2.0	1.4
	Diagnoses:	Main diagnosis	Schizoaffective disorders	59	42.1
			Paranoid schizophrenia	49	35.0
			Others schizophrenic disorders	25	17.9
			Delusional disorders	5	3.6
			Bipolar disorders	2	1.4
		Second diagnosis	Personality disorders	29	20.7
			Bipolar disorders	5	3.6
			Autism	1	0.7
	History of suicide attempts (yes/no)			42	30.0
	Number of suicide attempts (mean, SD)			0.42	0.98
	History of violence (yes/no)			38	27.0
	Psychiatric disorders in the family (yes/no)			63	45.0
Service utilisation	Patient distribution according to number of professionals frequently consulted ('frequent users')		0	14	10.0
			1	38	27.1
			2	67	47.9
			3	21	15.0

ISSN: 1472-6963