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Patient satisfaction with treatment for alcohol use disorders: comparing patients with and without severe mental health symptoms

McCallum, Stacey L, Andrews, Jane M, Gaughwin, Matthew D, Turnbull, Deborah A and Mikocka-Walus, Antonina A 2016, Patient satisfaction with treatment for alcohol use disorders: comparing patients with and without severe mental health symptoms, Patient preference and adherence, vol. 10, pp. 1489-1500, doi: 10.2147/PPA.S92902.

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Title Patient satisfaction with treatment for alcohol use disorders: comparing patients with and without severe mental health symptoms
Author(s) McCallum, Stacey L
Andrews, Jane M
Gaughwin, Matthew D
Turnbull, Deborah A
Mikocka-Walus, Antonina A
Journal name Patient preference and adherence
Volume number 10
Start page 1489
End page 1500
Total pages 12
Publisher Dovepress
Place of publication Macclesfield, Eng.
Publication date 2016-08-04
ISSN 1177-889X
Keyword(s) MeSH
alcohol use disorder
treatment
mental disorder
comorbidity
patient satisfaction
Summary BACKGROUND: Previous studies suggest patients with co-occurring alcohol use disorders (AUDs) and severe mental health symptoms (SMHS) are less satisfied with standard AUD treatment when compared to patients with an AUD alone. This study compared patient satisfaction with standard AUD treatment among patients with and without SMHS and explored how standard treatment might be improved to better address the needs of these patients.

METHODS: Eighty-nine patients receiving treatment for an AUD either at an inpatient hospital, outpatient clinic, inpatient detoxification, or residential/therapeutic community services were surveyed. Patient satisfaction with treatment was assessed using the Treatment Perception Questionnaire (range: 0-40). Patients were stratified according to their score on the Depression Anxiety Stress Scale. Forty patients scored in the extremely severe range of depression (score >14) and/or anxiety (score >10) (indicating SMHS) and 49 patients did not. An inductive content analysis was also conducted on qualitative data relating to areas of service improvement.

RESULTS: Patients with SMHS were found to be equally satisfied with treatment (mean =25.10, standard deviation =8.12) as patients with an AUD alone (mean =25.43, standard deviation =6.91). Analysis revealed that being an inpatient in hospital was associated with reduced treatment satisfaction. Patients with SMHS were found to be significantly less satisfied with staffs' understanding of the type of help they wanted in treatment, when compared to patients with AUDs alone. Five areas for service improvement were identified, including staff qualities, informed care, treatment access and continuity, issues relating to inpatient stay, and addressing patients' mental health needs.

CONCLUSION: While findings suggest that AUD treatment services adequately meet the needs of patients with SMHS in treatment, patients with SMHS do feel that staff lack understanding of their treatment needs. Findings have important implications as to how current health care practice might be improved according to the patient's perspective of care.
Language eng
DOI 10.2147/PPA.S92902
Field of Research 170199 Psychology not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088620

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.