Typology of persons with severe mental disorders
Open Access
- 11 May 2013
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Psychiatry
- Vol. 13 (1), 137-10
- https://doi.org/10.1186/1471-244x-13-137
Abstract
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. The study recruited a sample of 352 persons located in south-western Montreal (Quebec, Canada). Cluster analysis was used to create a PSMD typology. 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. 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.Keywords
This publication has 43 references indexed in Scilit:
- Adequacy of Help Received Among Individuals With Severe Mental DisordersAdministration and Policy in Mental Health and Mental Health Services Research, 2013
- Development of Lifetime Comorbidity in the World Health Organization World Mental Health SurveysArchives of General Psychiatry, 2011
- The Transformation of Mental Health Services To a Recovery-Orientated System of Care: Canadian Decision Maker PerspectivesInternational Journal of Social Psychiatry, 2010
- Comorbidity Between Psychiatric and General Medical Disorders in Homeless VeteransPsychiatric Quarterly, 2009
- A Taxonomy of Medical Comorbidity for Veterans Who are HomelessJournal Of Health Care For The Poor and Underserved, 2008
- Patients’ Report of Help Provided by Relatives and Services to Meet Their NeedsCommunity Mental Health Journal, 2008
- Do Women Express and Experience Psychosis Differently from Men? Epidemiological Evidence from the Australian National Study of Low Prevalence (Psychotic) DisordersAustralian & New Zealand Journal of Psychiatry, 2008
- Twelve-Month Use of Mental Health Services in the United StatesArchives of General Psychiatry, 2005
- Contact With Health Professionals for the Treatment of Psychiatric and Emotional ProblemsMedical Care, 1985
- Use of Cluster Analysis with Anthropological DataAmerican Anthropologist, 1954