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Table 2 Client and staff perceived needs for mental health services and rating agreement [Number of pairs = 188]

From: Mental health and social service needs for mental health service users in Japan: a cross-sectional survey of client- and staff-perceived needs

    Client rating b % Staff rating b % Wilcoxon signed-rank test Unweighted Weighted c
  Services n a 0 1 2 0 1 2 Z p value % Agreement Kappa % Agreement Kappa
C1 Mental health counselors in municipalities 171 21.1 49.7 29.2 11.1 61.4 27.5 −1.36 .175 46.8 .10 71.4 .16
C2 Counselors in hospitals or clinics 171 10.5 50.9 38.6 4.7 48.5 46.8 −2.38 .017 49.7 .11 73.1 .15
C3 Peer counselors or peer supporters who provide consultation for you 174 16.1 47.7 36.2 2.3 46.0 51.7 −4.48 < .001 46.6 .09 69.3 .10
C4 Health-care facilities with 24/7 crisis consultation 171 2.9 40.9 56.1 3.5 35.1 61.4 −0.92 .358 50.3 .03 73.7 .04
C5 Hospitals or clinics which provide crisis outreach services 173 12.1 45.1 42.8 15.6 61.9 22.5 3.67 < .001 45.7 .10 66.8 .05
C6 24/7 telephone consultation services 179 14.5 41.9 43.6 10.6 56.4 33.0 1.08 0.28 44.7 .09 68.7 .10
C7 Outreach services provided by mental health specialists (psychiatric social workers, nurses) 174 19.5 46.6 33.9 28.7 41.4 29.9 1.85 .065 45.4 .16 68.1 .21
H1 Supportive/ed housing which provides lodging services for respite instead of hospital admission 177 12.4 49.7 37.9 16.4 54.2 29.4 2.09 .037 49.2 .15 71.8 .19
H2 Supportive/ed housing which provide you care when your families cannot take care of you 172 20.4 43.6 36.1 37.2 43.6 19.2 4.76 < .001 41.3 .12 64.5 .15
H3 Supportive/ed housing for a short time period to lessen anxiety of living alone 173 26.0 42.2 31.8 40.5 43.4 16.2 4.07 < .001 39.9 .09 63.0 .11
H4 Supportive/ed housing where staff support you 169 22.5 45.0 32.5 40.2 40.2 19.5 3.95 < .001 42.6 .14 62.7 .11
R1 Joint guarantor (co-signer) agent when renting housing 173 15.0 41.6 43.4 38.2 37.0 24.9 5.36 < .001 38.7 .10 63.0 .16
R2 Housing information 168 20.2 45.2 34.5 34.5 44.6 20.8 3.75 < .001 38.7 .07 64.0 .12
D1 Community support center that provides information you need and place to interact with friends 175 9.1 45.1 45.7 0.6 45.1 54.3 −2.94 .003 58.9 .25 77.7 .26
D2 Home help services that help with household tasks such as cleaning, cooking, etc. 171 27.5 43.9 28.7 33.9 39.8 26.3 1.24 .217 43.9 .15 66.4 .19
D3 Advocacy services that listens to and advocates your concerns and complaints about medical welfare 174 22.4 40.2 37.4 25.3 55.8 19.0 2.83 .005 36.2 .02 62.4 .04
D4 Financial management support services which help with your money management 171 40.4 38.0 21.6 46.8 35.7 17.5 1.53 .126 46.2 .16 69.6 .25
E1 Vocational services including job counseling and search 176 9.7 46.0 44.3 12.5 40.3 47.2 −0.17 .867 42.6 .03 68.8 .10
E2 Sheltered workshops where there is someone available to you for consultation 175 13.1 40.6 46.3 12.6 49.7 37.7 1.46 .143 44.0 .08 69.1 .14
  1. aNumber of pairs of client and staff who both answered the perceived need for the service item.
  2. b0 = unnecessary; 1 = somewhat necessary; 2 = absolutely necessary.
  3. cWeights were 1, 0.5, 0 for categories 0, 1, and 2 apart, respectively.
  4. C: Counseling and healthcare; H: Housing; R: Renting; D: Daily living; E: Employment.