Consumers' Suggestions for Improving the Mental Healthcare System: Options, Autonomy, and Respect

Community Ment Health J. 2019 Aug;55(6):916-923. doi: 10.1007/s10597-019-00423-7. Epub 2019 Jun 7.

Abstract

While the mental healthcare-consumer voice has gained in legitimacy and perceived value, policy initiatives and system improvements still lack input from consumers. This study explores consumers' suggestions for improving the mental healthcare system. Participants (N = 46) were conveniently recruited and responded to an online survey asking: "What are your suggestions for improving the mental healthcare system?" Eight themes were identified using iterative, inductive and deductive coding. Themes included treatment options, autonomy and empowerment, respect and relationships, medication management, peer support, insurance and access, funding and government support, and treatment environment. Theoretically, there is interdependence among themes where five of the themes are foundational for the three main themes (i.e. treatment options, autonomy and empowerment, respect and relationships). Findings suggest that consumers see the need for improvement in patient-centered care. While access is the focus of much mental healthcare policy discussions, the ultimate goal should be provisioning person-centered mental healthcare.

Keywords: Patient perception; Policy; Quality; System reform.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Community Mental Health Services
  • Community Participation*
  • Female
  • Humans
  • Inpatients
  • Male
  • Mental Disorders* / economics
  • Mental Disorders* / psychology
  • Mental Disorders* / therapy
  • Middle Aged
  • Patient-Centered Care
  • Quality of Health Care*
  • Surveys and Questionnaires
  • Young Adult