Skip to main content

Table 2 Items arranged by cluster

From: The patient experience in community mental health services for older people: a concept mapping approach to support the development of a new quality measure

Cluster A: Personal qualities and relationships.

18. I appreciate the “personal touch”

13. I appreciate the human contact

12. A smile and a warm handshake is important

15. It’s important that mental health care workers are gentle and tender

14. I like it when mental health care workers can sit, talk and take time to just be with me

27. I like it when they just sit with me sometimes

19. Mental health care workers should be good, honest people; showing kindness and consideration

58. It’s important that I am treated with compassion, like I matter

69. People should acknowledge me and respect me.

62. My care worker really listens to me; not just to what I say, but what it all means to me

33. I like mental health care workers to “share” as well as “care”

68. It’s important that they show an interest in me, beyond just the tasks and paperwork at hand

11. Good support leaves me feeling safe and secure

46. I need to feel secure and have mental health care workers give me reassurance

66. I appreciate mental health care workers getting to know me, by visiting me regularly

67. I value care-rs, not just do-ers. I miss the “care” part.

Cluster B: Communication problems.

1. I want mental health care workers to talk to me, not at me.

32. Sometimes it takes me a bit of time to say what I mean

2. It’s important that people listen to what I am saying.

16. I want someone to speak-up for me

10. I feel uncomfortable if mental health care workers don’t speak and understand my language

31. I expect what I say to be taken seriously

73. Some mental health care workers use jargon I don’t understand

60. When they tell me off for doing things myself, I feel like a child

72. Sometimes they don’t look up from the notes when talking to me

36. I get frustrated when mental health care workers don’t pay attention to what I am trying to say

4. I shouldn’t have to speak-up and say “you’re not listening to me”

17. They should explain things clearly to me, and help me to navigate the system

37. I feel belittled when they try to persuade me that my problems are different to what I think they are

49. I feel that I shouldn’t have to complain. They should listen more carefully

3. If I need to complain about my care, they shouldn’t presume it’s because I have mental health problems

50. I’m worried that they will label me as ‘argumentative’ if I complain to them

Cluster C: Feeling powerless

47. I shouldn’t have to ring mental health care workers to chase-up what is going on

56. It is annoying when different professionals don’t to talk to each other

45. I shouldn’t have to be correcting them, and telling them what they need to be doing

38. Sometimes people on the phone are obstructive; they fob me off

Cluster D: In-and-out care.

9. When they are rushed they can’t give you their full attention

25. I sometimes feel like I’m in the way because they’ve got so much to do

35. I don’t feel valued when they are just “in and out”

52. They don’t have time for me nowadays

24. Having to wait for mental health care workers makes me feel unwanted

53. I get frustrated having to sit and wait for the transport in the lounge

34. They should come at a time that suits me

6. Mental health care workers should be on time

Cluster E: Bureaucracy.

41. Mental health care workers shouldn’t be stopped from doing their job by rules, bureaucracy and “health and safety”

5. Services should be available in all areas, not centralised in one area

7. I should have a say in what services are available locally

Cluster F: Focus on life not just mental health

51. I value flexible support; for them to help me with life’s little things that matter to me

23. I like meetings to be interactive; doing things together rather than them doing it all

26. It’s important they support me to do activities that matter

55. The choice of different activities my mental health care workers involve me in is excellent

28. Good support is flexible so I can have variety in the activities that I’m supported to do

29. I like mental health support to keep me involved and busy

74. Some variety would be nice, so that I can be supported to cook

63. My mental health care workers keep me connected and involved with my community

71. Good mental health care workers are an important part of the community

30. Good support brings people together and keeps me in touch

Other items: Continuity of care from people who get to know you

54. There’s a lack of continuity, so you can’t get to know people.

40. I expect new mental health care workers to read my notes before they come.

39. It’s embarrassing to be washed and dressed by a stranger.

57. Some mental health care workers are so fixed in their ways. They just do they job written on their paperwork.

64. I should be asked about what goes into my support plan.

42. They should recognise that if they see me on a “good day”, next time might be a “bad day”.

44. It’s frightening when you don’t know who it is coming to see you this time

59. Care has to be at a pace that suits me. There’s no point rushing me.

70. I shouldn’t be left in an unsafe situation, like cooking for myself.