Service needs, receipt, and outcomes for types of clients with serious and persistent mental illness

David A. Bartsch, David L. Shern, Anita Saranga Coen, Nancy Z. Wilson

Research output: Contribution to journalArticle

Abstract

Classifying clients with serious and persistent mental illness (SPMI) into groups with differential demographic and clinical characteristics that relate directly to the need and receipt of services and changes in functioning provides a strong foundation on which to build program- or system-level planning, development, and evaluation efforts. In this study, clinician-generated problem data and cluster-analytic techniques were used to develop a four-group typology for a sample of 293 clients with SPMI. Each of the types-extremely disabled, young adult, personally distressed, and adapted-was profiled demographically and clinically in terms of human service needs, prognosis, and treatment outcomes. Each of the four types evidenced a unique pattern of needs and outcomes that was consistent with its clinical profiles. The typology, associated service needs, and outcomes provide valuable information for use in service planning and program development for clients with SPMI.

Original languageEnglish (US)
Pages (from-to)388-402
Number of pages15
JournalThe Journal of Mental Health Administration
Volume22
Issue number4
DOIs
StatePublished - Sep 1995
Externally publishedYes

ASJC Scopus subject areas

  • Leadership and Management
  • Psychiatry and Mental health

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