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Table 1 Research articles published 2010-2020 on caregiver satisfaction with youth mental health services in the United States

From: Revisiting caregiver satisfaction with children’s mental health services in the United States

First Author

Pub. Year

Conceptualization

Measure

Use

Results

Service Setting

Notes

Acri

2016

Defined as viewing the process and outcomes associated with treatment favorably; parents’ opinions about helpfulness of groups, the importance of therapy for families, and family improvements as a result of treatment

Metropolitan Area Child Study process measures program satisfaction subscale

Satisfaction in relationship to clinical, population, or service variables

Satisfaction with treatment was predictive of reductions in problematic child behaviors and parent stress independently; no difference between treatment groups

Outpatient clinic

 

Beltran

2016

Indicator of engagement in mental health services

Study-specific researcher-developed measure

Satisfaction as feasibility component for new intervention

Satisfaction ratings were high for parents & children

Outpatient clinic

Also measured child satisfaction

Bonach

2010

Examining how performance of different multidisciplinary agencies vary in the eyes of the consumer, how they shape consumer's experience; find ways to improve and refine service delivery

Study-specific researcher-developed measure

Satisfaction in relationship to clinical, population, or service variables

Caregivers reported fairly high satisfaction with Children's Advocacy Center (CAC). Separated CAC functions, showing that satisfaction with services delivered by the CAC (information and logistical coordination, responsiveness and provision of comfort for child victims and non-offending caregivers, and staff courteousness and helpfulness) was important in predicting overall CAC satisfaction

Children's advocacy center

 

Burt

2014

Caregiver satisfaction with the discussion of behavioral health topics with the provider

Promoting Healthy Development Survey- Modified

Satisfaction as outcome for established intervention

Intervention group (integrating behavioral health provider into well-child visit) parent satisfaction was not higher than control (standard well-child visit); overall satisfaction was highly related to perceived helpfulness

Primary care

 

Cama

2020

Parents’ satisfaction with the role of the primary care physician (PCP) in the treatment of their child’s mental health problems after their PCP consulted Massachusetts Child Psychiatry Access Project (MCPAP)

Study-specific researcher-developed measure

Satisfaction as outcome for established intervention

Parents expressed high rates of satisfaction; positive patient-doctor relationship related to higher satisfaction

Primary care

 

Chavira

2014

Parent level of satisfaction with the intervention that their child received

Parent Consumer Satisfaction Scale

Satisfaction as outcome for established intervention

Parent satisfaction at post-treatment and 3-month follow-up was high for both groups, no significant difference between treatment groups

Cross-Setting: outpatient (control) and telehealth (intervention)

 

Coker

2019

Examined satisfaction with the referral process and the care received

2 adapted items from the Consumer Assessment of Healthcare Providers and Systems [CAHPS] Health Plan Survey

Satisfaction as feasibility component for new intervention

Parents in the intervention group reported higher satisfaction with the referral system and with care overall

Cross-setting: primary care clinic and outpatient clinic; intervention-only: telehealth

 

Cook

2010

Satisfaction as a component of the caregiver’s perception of his or her system of care service experiences over the last 6 months

YSS-F

Satisfaction as outcome for established intervention

Higher levels of perceived support related positively to parental satisfaction with services received

Cross-setting: system of care

Also measured child satisfaction

Dvir

2012

Conceptualized parent satisfaction with services as the difference between families’ expectations of care and their actual experience of care. Measured general satisfaction with services and with the evaluation process by psychiatrist/psychiatric nurse clinician, and satisfaction with the follow up and mental health referral process

Study-specific researcher-developed measure

Satisfaction as outcome for established intervention

Most parents were satisfied with services, and reported being better satisfied with service in this program compared to previous contact with mental health providers. No significant group differences in satisfaction by minority status, visit status, or co-morbidity status. High rates of parents reporting they felt prepared, heard, and understood; lower satisfaction was reported with wait times to get services in the community

Primary care

 

Farmer

2011

Satisfaction with health services: primary care, specialty care, emergency room, inpatient; and separately, satisfaction with mental health services

Study-specific researcher-developed measure

Satisfaction as outcome for established intervention

Intervention group (care coordination) reported greater satisfaction with mental health services & therapies than the waitlist control group

Primary care (medical home)

Also measured physician satisfaction

Fawley-King

2013

Satisfaction with services for their child: measured overall satisfaction with services, positive outcomes as a result of services, and having support outside the mental health system

YSS-F

Satisfaction in relationship to clinical, population, or service variables

Caregivers were highly satisfied with their child's treatment; higher general satisfaction predicted higher number of caregiver participation activities and the caregiver being more likely to carry out therapist's recommendations at home

Outpatient clinic

 

Fawley-King

2014

Mothers' satisfaction with the Triple P program

Study-specific researcher-developed measure

Satisfaction as outcome for established intervention

Mothers reported high rates of satisfaction with the intervention, and almost all reported if they needed help again, they would definitely return to the Triple P program

Outpatient clinic

 

Gerdes

2019

Part of engagement & acceptability outcomes

Therapy Attitude Inventory (TAI)

Satisfaction as feasibility component for new intervention

High satisfaction with both arms, but mothers reported higher satisfaction with the culturally-adapted evidence-based treatments (EBTs) than the regular EBT

Cross-setting: outpatient clinic (control) and community-based (intervention)

 

Haine-Schlagel

2013

Using parent report to assess perceived effectiveness of treatment

Multidimensional Adolescent Satisfaction Scale (MASS), adapted for parents

Satisfaction in relationship to clinical, population, or service variables

Parents may be more satisfied with care that integrates common elements of evidence-based treatments

Outpatient clinic

 

Jacob

2012

3 domains of satisfaction reported to be highly correlated with global satisfaction for pediatric telemedicine patients: 1) technical functioning 2) comfort of patient and provider with the technology and perceived privacy 3) timely and geographic access to care

Parent Satisfaction Survey (Meyers 2008- specifically for telepsychiatry)

Satisfaction as outcome for established intervention

High parental satisfaction

Cross-setting: primary care clinic and telehealth

Also measured primary care physician satisfaction

Kolko

2010

Parent perception of treatment acceptability & helpfulness

CSQ-8

Satisfaction as outcome for established intervention

Intervention group parents (on-site behavioral intervention from pediatric nurse) reported significantly greater satisfaction than control group (enhanced usual care)

Cross-setting: outpatient clinic (control) and primary care (intervention)

 

Kolko

2012

Family impressions of services & of the study

CSQ-8

Satisfaction as outcome for established intervention

Intervention group parents (doctor's office collaborative care) were highly satisfied

Primary care

Also measured pediatrician satisfaction

Liddle

2011

Construct to test implementation feasibility

SSS-16

Satisfaction as feasibility component for new intervention

Intervention group children & parents were more satisfied than enhanced SAU group

Cross-setting: juvenile justice detention center, community-based, home-based, and outpatient

Also measured child satisfaction

Mayworm

2020

Measuring three domains of satisfaction important in telepsychiatry: technical functioning, comfort with technology and privacy, and access to care

Parent Satisfaction Survey (Meyers 2008- specifically for telepsychiatry)

Satisfaction as outcome for established intervention

Parents were equally & highly satisfied with telepsychiatry & in-person psychiatry services

Cross-setting: school-based in-person and telehealth

Also measure child & provider satisfaction

Radigan

2014

Measure of appropriateness of care, cultural sensitivity, access, participation, outcomes/functioning, medication management, global satisfaction, and social connectedness

Family Assessment of Care Satisfaction Survey (FACS)- created in New York State; based on national satisfaction survey YSS-F, with local input

Satisfaction as feasibility component for new intervention

Greater proportion of those with access to family peer advocates (FPAs) responded positively (than those without FPAs) to satisfaction overall, and specifically to satisfaction with access to services, appropriateness of services, and participation in services

Cross-setting: inpatient and outpatient

Also measured child satisfaction

Salloum

2015

Acceptability to parents, as a factor affecting implementation

CSQ-8

Satisfaction as outcome for established intervention

Parents & children had high satisfaction levels; parents slightly higher than children

Outpatient clinic

Also measured child satisfaction

Stadnick

2012

Measuring parents’ views on the effectiveness of therapy over the past 5 months

Perceived Effectiveness Subscale of the Multidimensional Adolescent Satisfaction Scale (Caregiver Report Version), plus study-specific researcher developed measure

Satisfaction as outcome for established intervention

Parents reported high level of satisfaction with therapy & that their therapist was effective in working with the child

Outpatient clinic

 

Storch

2015

Metric of treatment acceptability

CSQ-8

Satisfaction as outcome for established intervention

Computerized CBT group had high satisfaction rating from both parents & children

Outpatient clinic

Also measured child satisfaction

Thomas

2018

Measuring overall acceptability, effectiveness, and efficiency

Previously validated telemedicine survey (Yip 2003)

Satisfaction as outcome for established intervention

Parents & providers rated high satisfaction; providers slightly lower than parents

Cross-setting: emergency department and urgent care center; intervention-only: telehealth

Also measured provider satisfaction

Trask

2015

Satisfaction as a gauge of quality of care; overall satisfaction with services, positive outcomes as a result of services, and cultural sensitivity scales

YSS-F

Satisfaction in relationship to clinical, population, or service variables

Youth & caregivers had higher satisfaction when clinicians discussed and practiced common elements of evidence-based treatments; consistent across general satisfaction, satisfaction with cultural sensitivity, and satisfaction with outcomes

Outpatient clinic

Also measured child satisfaction

Turchik

2010

Satisfaction as a distinct construct from outcomes; consumer satisfaction important in effectiveness/quality of services, to increase consumer input in service delivery. Parent satisfaction as specifically important because they are involved in treatment plan and bring the child to therapy

The Ohio Scales- Satisfaction Scale

Satisfaction in relationship to clinical, population, or service variables

Parents reported greater satisfaction than the children, but reported lower functioning & higher problem severity scores than children. Parents of younger children reported higher satisfaction; parents of older kids reported lower satisfaction, but the older kids reported higher satisfaction than younger kids. Demographic/clinical outcome variables do not account for much variation. Improvements in functioning/reduction in symptoms were related to satisfaction but small in magnitude

Outpatient clinic

Also measured child satisfaction

Williams

2011

Measure of acceptability

Study-specific researcher-developed measure

Satisfaction as outcome for established intervention

Most parents reported high acceptability scores

Emergency department

Also measured child satisfaction