Typology of Persons with Severe Mental Disorders

Overview

Journal BMC Psychiatry

Publisher Biomed Central

Specialty Psychiatry

Date 2013 May 14

PMID 23663255

Citations 6

Authors

Marie-Josee Fleury

Guy Grenier

Jean-Marie Bamvita

Jacques Tremblay

Affiliations

Soon will be listed here.

Abstract

Background: Persons with severe mental disorders (PSMD) form a highly heterogeneous group. Identifying subgroups sharing similar PSMD profiles may help to develop treatment plans and appropriate services for their needs. This study seeks to establish a PSMD typology by looking at individual characteristics and the amount and adequacy of help received.

Methods: The study recruited a sample of 352 persons located in south-western Montreal (Quebec, Canada). Cluster analysis was used to create a PSMD typology.

Results: Analysis yielded five clusters: 1. highly functional older women with mood disorders, receiving little help from services; 2. middle-aged men with diverse mental disorders and alcohol abuse, receiving insufficient and inadequate help; 3. middle-aged women with serious needs, mood and personality disorders and suicidal tendencies, living in autonomous apartments, and receiving ample but inadequate help; 4. highly educated younger men with schizophrenia, living in autonomous apartments, and receiving adequate help; and 5. older poorly educated men with schizophrenia, living in supervised apartments, with ample help perceived as adequate. Marked differences were found between men and women, between users diagnosed with schizophrenia and others, and between persons living in supervised or autonomous apartments.

Conclusion: Our study highlights the existence of parallel subgroups among PSMD related to their socio-demographic status, clinical needs and service-use profiles, which could be used to focus more appropriate interventions. For mental health service planning, it demonstrates the relevance of focusing on individuals showing critical needs who are affected by multiple mental disorders (especially when associated with alcohol abuse), and often find help received as less adequate.

Citing Articles

Profiles, Correlates and Outcomes Among Patients Experiencing an Onset of Mental Disorder Based on Outpatient Care Received Following Index Emergency Department Visits.

Gabet M, Cao Z, Fleury M Can J Psychiatry. 2022; 67(10):787-801.

PMID: 35289196 PMC: 9510995. DOI: 10.1177/07067437221087004.

Profiles of Service Users with Severe Mental Disorders Based on Adequacy of Help.

Fleury M, Grenier G, Bamvita J Psychiatr Q. 2019; 90(3):613-627.

PMID: 31218514 DOI: 10.1007/s11126-019-09652-1.

A typology of satisfaction with mental health services based on Andersen's behavioral model.

Fortin M, Cao Z, Fleury M Soc Psychiatry Psychiatr Epidemiol. 2018; 53(6):587-595.

PMID: 29450599 DOI: 10.1007/s00127-018-1498-x.

Comparing Perceived Adequacy of Help Received Among Different Classes of Individuals with Severe Mental Disorders at Five-Year Follow-Up: A Longitudinal Cluster Analysis.

Fleury M, Grenier G, Bamvita J Community Ment Health J. 2017; 54(5):540-554.

PMID: 29134396 DOI: 10.1007/s10597-017-0181-0.

Utility of the Montreal assessment of need questionnaire for community mental health planning.

Tremblay J, Bamvita J, Grenier G, Fleury M J Nerv Ment Dis. 2014; 202(9):677-87.

PMID: 25099300 PMC: 4165477. DOI: 10.1097/NMD.0000000000000180.

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