ArticleInternational journal of mental health systems2015
Mental health and social service needs for mental health service users in Japan: a cross-sectional survey of client- and staff-perceived needs.
Article in International journal of mental health systems, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Long-term outcomes of assertive community treatment in Japan: 7-year follow-up of a randomized controlled trial.BMC psychiatry · 2025Trial
- Self- and observer-rated functioning and psychiatric readmission: findings from multicenter longitudinal data.Scientific reports · 2026Article
- Validity and reliability of the Japanese Adult Social Care Outcomes Toolkit four-level Self Completion Tool (ASCOT SCT4) in community mental health service users in Japan.Health and quality of life outcomes · 2026Article
- What outcomes in community mental health research are important to caregivers of people with schizophrenia? An exploratory qualitative analysis of an online survey.Neuropsychopharmacology reports · 2022Article
- Outcomes frequently specified in Cochrane reviews of community-based psychosocial interventions for adults with severe mental illness: A systematic search and narrative synthesis.Neuropsychopharmacology reports · 2021Review
- exploring counselor-client agreement on clients' work capacity in established and consultative dyads.Journal of employment counseling · 2020Article
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4 authors.
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Abstract
backgroundThe appropriate utilization of community services by people with mental health difficulties is becoming increasingly important in Japan. The aim of the present study was to describe service needs, as perceived by people with mental health difficulties living in the community and their service providers. We analyzed the difference between two necessity ratings using paired data in order to determine implications related to needs assessment for mental health services.
methodsThis cross-sectional study used two self-reported questionnaires, with one questionnaire administered to mental health service users living in the community and another questionnaire to staff members providing services to those users at community service facilities. The study was conducted in psychiatric social rehabilitation facilities for people with mental health difficulties in Japan. The paired client and staff responses rated needs for each kind of mental health and social service independently. The 19 services listed in the questionnaire included counseling and healthcare, housing, renting, daily living, and employment. Overall, 246 individuals with mental health difficulties were asked to participate in this study, and after excluding invalid responses, 188 client-staff response dyads (76.4% of recruited people, 83.6% of people who gave consent) were analyzed in this study. A Wilcoxon matched-pairs signed rank test was used to compare the perceived needs, and weighted and unweighted Kappa statistics were calculated to assess rating agreement within client-staff dyads.
resultsOver 75% of participants in our study, who were people with mental health difficulties living in the community, regarded each type of mental health service as "somewhat necessary," or "absolutely necessary" to live in their community. Most clients and staff rated healthcare facilities with 24/7 crisis consultation services as necessary. Agreement between client and staff ratings of perceived needs for services was low (Kappa = .02 to .26). Services regarding housing, renting a place to live, and advocacy had the same tendency in that clients perceived a higher need when compared to staff perceptions (p < .01).
conclusionsIt is essential for the service providers to identify the services that each user needs, engage in dialogue, and involve clients in service planning and development.
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