Modeling variables associated with personal recovery among service users with mental disorders using community-based services.

TitleModeling variables associated with personal recovery among service users with mental disorders using community-based services.
Publication TypeJournal Article
Year of Publication2019
AuthorsMJ Fleury, Sabetti J, Bamvita JM, Grenier G
JournalInt J Soc Psychiatry
Volume65
Issue2
Pagination123-135
Date Published2019 03
ISSN1741-2854
KeywordsAdult, Aged, Community Mental Health Services, Cross-Sectional Studies, Female, Health Behavior, Health Services Needs and Demand, Humans, Male, Mental Disorders, Middle Aged, Models, Psychological, Quality of Life, Quebec, Young Adult
Abstract

BACKGROUND: Mental health research is evolving toward the identification of conceptual models and associated variables, which may provide a better understanding of personal recovery, given its importance for individuals affected by mental disorders (MDs).

AIMS: This article evaluated personal recovery in a sample of adults with MDs using an adapted conceptual framework based on the Andersen behavioral model, which evaluates predisposing, enabling and needs factors in service use.

METHODS: The study design was cross-sectional and included 327 mental health service users recruited across four local health service networks in Quebec (Canada). Data were collected using seven standardized instruments and participant medical records. Structural equation modeling was performed.

RESULTS: Quality of life (QOL), an enabling factor, was most strongly associated with personal recovery. Health behavior variables associated with recovery included the following: use of alcohol services, having a family physician, consulting a psychologist, use of food banks, consulting fewer professionals and not using drug services. Regarding needs factors, higher numbers of needs, lower severity of unmet health, social and basic needs and absence of mood disorders were also associated with personal recovery. No predisposing factors emerged as significant in the model.

CONCLUSION: Findings suggest that QOL, needs variables and comprehensive service delivery are important in personal recovery. Services should be individualized to the health, social and basic needs of service users, particularly those with mood disorders or co-occurring mental health/substance use disorders.

DOI10.1177/0020764019831310
Alternate JournalInt J Soc Psychiatry
PubMed ID30791820