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Service user satisfaction with care in a specialist service for young people with attention deficit hyperactivity disorder

Published online by Cambridge University Press:  01 April 2022

Jane McGrath Open the ORCID record for Jane McGrath [Opens in a new window] ,
Barbara Cawley ,
Daniel McTiernan ,
Liliana Marques ,
Ewa Goncerz ,
Elizabeth A. Heron ,
Jamie Madden ,
Laura Bond ,
Catherine Quinn  and
Ken Mulholland
...Show all authors
Jane McGrath*
Affiliation:
Department of Psychiatry, Trinity Centre for Health Sciences, St James’s Hospital, Trinity College Dublin, Dublin, Ireland ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Barbara Cawley
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Daniel McTiernan
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Liliana Marques
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Ewa Goncerz
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Elizabeth A. Heron
Affiliation:
Department of Psychiatry, Trinity Centre for Health Sciences, St James’s Hospital, Trinity College Dublin, Dublin, Ireland
Jamie Madden
Affiliation:
Centre for Veterinary Epidemiology and Risk Analysis (CVERA), School of Veterinary Medicine, University College Dublin, Dublin, Ireland
Laura Bond
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Catherine Quinn
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Ken Mulholland
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
Brenda Dowling
Affiliation:
ADMiRE, Linn Dara Child and Adolescent Mental Health Services, Cherry Orchard Hospital, Ballyfermot, Dublin, Ireland
*
Address for correspondence: J. McGrath, Department of Psychiatry, Trinity Centre for Health Sciences, St James’s Hospital, Trinity College Dublin, Dublin 8, Ireland. (Email: jane.mcgrath@tcd.ie)
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Abstract

Objectives:

Consumer satisfaction is considered one of the most important measures of service quality in child mental health; however, there is limited understanding of factors that influence satisfaction. The objective of this study was to investigate key factors influencing satisfaction with care (SWC) in ADMiRE, a specialist service for young people (YP) with attention deficit hyperactivity disorder (ADHD).

Methods:

Parents/carers (n = 67) and YP > 9 years (n = 44) attending ADMiRE completed an anonymous Experience of Service Questionnaire (ESQ), a quantitative/qualitative measure of service user satisfaction. Parents/carers also completed symptom severity rating scales. Data were analysed to determine (i) overall SWC, (ii) the relationship between parent- and youth-reported SWC and (iii) the impact of symptom severity on SWC. Thematic analysis of qualitative ESQ data was completed.

Results:

Parents/carers were significantly more satisfied than YP (p = 0.028). Symptom severity did not impact significantly on parent/carer satisfaction. YP with severe hyperactive/impulsive and inattentive ADHD symptoms were significantly less satisfied with care than those with less severe ADHD symptoms (p = 0.022 and p = 0.017 respectively). Factors related to the therapeutic alliance were identified as being particularly important to both parents/carers and YP.

Conclusions:

This is the first Irish study that has investigated the impact of symptom severity on service user satisfaction in a child mental health service. The results highlight the different perspectives of YP and parents and provide novel insights into the impact of symptom severity on service user satisfaction. The importance of the therapeutic alliance should not be underestimated in future development of services.

Keywords

Adolescent psychiatryattention deficit hyperactivity disorder (ADHD)child and adolescent mental health services (CAMHS)child psychiatryexperience of service questionnaireIrelandpatient/service user satisfaction
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 41 , Issue 1 , March 2024 , pp. 46 - 53
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of College of Psychiatrists of Ireland

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