The attendees’ view of quality in community-based day centre services for people with psychiatric disabilities

Figures & data

Table 1. Characteristics of the study group (n = 218).

Background variable	Participants, N (%)
Gender
Male	119 (55%)
Female	96 (44%)
Missing data	3 (1%)
Age (M ± SD)	46.4 ± 12.1
19–29	17 (8%)
30–39	47 (22%)
40–49	48 (22%)
50–59	67 (31%)
60–71	29 (13%)
Missing data	10 (5%)
Nationality
Swedish	186 (85%)
Non-Swedish	29 (13%)
Nordic countries	2 (1%)
European	9 (4%)
Non-European	12 (6%)
Missing data	3 (2%)
Education
Not completed elementary school	4 (2%)
Elementary school	66 (30%)
Upper secondary school	96 (44%)
College/University	49 (23%)
Missing data	3 (1%)
Living status
Living alone	170 (78%)
Living together	43 (20%)
Missing data	5 (2%)
Type of housing
Residence with special services	46 (21%)
Independent living	163 (75%)
Missing data	9 (4%)
Know ones diagnosis
Yes	154 (71%)
No	40 (18%)
Has not got a diagnosis	18 (8%)
Missing data	6 (3%)
Number of reported diagnoses (n = 154)
One	106 (69%)
Two	17 (11%)
Three or more	5 (3%)
Missing data	26 (17%)
Type of diagnosis, if yes (n = 154)
Psychosis/Schizophrenia	48 (31%)
Depressions	33 (21%)
Neuropsychiatric	30 (20%)
Anxiety	22 (14%)
Missing data	26 (17%)
Current contact with outpatient clinic
No	63 (29%)
Yes	152 (70%)
Missing data	3 (1%)
Frequency of contact with outpatient clinic (n = 152)
>1 times/week	9 (6%)
1 time/week	23 (15%)
2 times/month	17 (11%)
1 time/month	29 (19%)
6 times/year	5 (3%)
4 times/year	5 (3%)
≤2 times/year	15 (10%)
Missing data	49 (32%)
Current mental health
Very bad	7 (3%)
Bad	42 (19%)
Neither good nor bad	63 (29%)
Good	76 (35%)
Very good	28 (13%)
Missing data	2 (1%)
Current physical health
Very bad	8 (4%)
Bad	52 (24%)
Neither good nor bad	66 (30%)
Good	69 (32%)
Very good	19 (9%)
Missing data	4 (2%)
Daily occupation
Work oriented daily activities/student	100 (46%)
Meeting place oriented daily activities	113 (52%)
Missing data	5 (2%)
Type of activities (more than one is possible)
Property maintenance	52 (24%)
Handicraft	63 (29%)
Catering service	69 (32%)
Social activities	121(56%)
Missing data	5 (2%)
Length in daily activity (M ± SD)	5.3 ± 5.4
<1 year	43 (20%)
1–4 years	68 (31%)
5–9 years	32 (15%)
>10 years	46 (21%)
Missing data	29 (13%)
Waiting time for current day centre
No waiting time	104 (48%)
<1 month	70 (32%)
1–3 months	23 (11%)
>3 months	13 (6%)
Missing data	8 (4%)
Perceived time of waiting
Far too short	8 (4%)
Too short	55 (25%)
Neither short nor too long	120 (55%)
Too long	9 (4%)
Far too long	7 (3%)
Missing data	19 (9%)
Know responsible head of activity centre
No	27 (12%)
Yes	189 (87%)
Missing data	2 (1%)
Know where to complain
No	66 (30%)
Yes	149 (68%)
Missing data	3 (1%)
Recommend current activity centre
Certainly not	5 (2%)
Rather not	8 (4%)
Maybe	41 (19%)
Willingly	59 (27%)
Absolutely	104 (48%)
Missing data	1 (0%)

Table 2. Univariate regression standardized coefficients (β) on background questions for each QPC-DA dimension.

	Encounter	Participation	Support	Secluded environment	Secure environment	Daily activity specific
Gender	0.089	0.113	−0.002	0.126	0.028	0.086
Age (cont.)	−0.029	0.052	0.079	0.018	0.085	0.096
Nationality	0.052	0.032	0.055	−0.021	−0.009	0.050
Living status	0.019	−0.003	−0.006	0.033	−0.004	−0.037
Education	−0.145*	−0.217**	−0.136*	−0.208**	−0.179**	−0.203**
Type of housing	−0.089	−0.127	−0.027	−0.075	−0.102	−0.109
Daily occupation	0.054	0.129	0.095	0.036	0.006	0.055
Waiting time for current day center	−0.239***	−0.233***	−0.160*	−0.153*	−0.172*	− 0.261***
Perceived time of waiting	−0.198**	−0.211**	−0.114	−0.203**	−0.143*	−0.244***
Length in daily activity	−0.102	0.086	−0.008	0.044	0.056	0.141
Know ones diagnosis	0.105	0.049	0.052	−0.110	−0.003	−0.059
Number of reported diagnoses	−0.014	−0.057	−0.053	0.069	−0.082	−0.108
Current contact with outpatient clinic	0.013	−0.062	−0.032	−0.055	−0.035	−0.101
Frequency of contact with outpatient clinic	−0.028	−0.017	−0.019	−0.141	−0.057	−0.035
Current physical health	0.057	0.109	0.092	0.096	0.137*	0.170*
Current mental health	0.138*	0.171*	0.189**	0.113	0.124	0.256***
Know responsible head of activity center	0.293***	0.255***	0.255***	0.133	0.181**	0.170*
Know where to complain	0.233***	0.238***	0.227***	0.208**	0.184**	0.196**

*** p < .001;

** p < .01;

* p < 0.05.

Table 3. Attendees’ perception of the quality of day centre service.

	QPC-DA item by dimension	Agree^a (%)
	1. Encounter (7 items)
14.	The staff show me respect	89.3
10.	The staff treat me with kindness	88.6
9.	The staff are dedicated	86.3
15.	The staff understand my feelings	85.3
22.	The staff care about how I perceive the daily activities	84.2
7.	The staff talk with me when I need it	84.0
17.	The staff have time to listen to me	83.7
11.	The staff care about why I am angry	83.7
	2. Participation (8 items)
5.	My opinion of what is right is respected	86.4
6.	I am involved in decisions about my daily activities	85.7
26.	I have been informed of the various types of activities so that I can decide what is best for me	80.8
24.	I received information in an understandable way	77.9
12.	My previous experiences of what activities I can perform are optimally utilized	77.5
1.	I have influence over the activities I perform	76.7
25.	I learn about my psychiatric disabilities	69.5
13.	I learn to recognize signs of deteriorating mental health	59.4
	3. Support (5 items)
16.	Staff prevent me from hurting others	84.7
20.	Staff help me to understand that guilt and shame should never have to stop me from going to the day centre.	84.4
21.	The staff help me to understand that guilt and shame should never have to stop me from seeking care	82.9
19.	The staff will help me to understand that it is not shameful to have suffered from psychological disorders	82.7
18.	Staff prevent me from hurting myself.	82.4
	4. Secluded environment (2 items)
23.	When I perform activities in my daily job there is a secluded place where I can take a break	77.3
3.	I have access to secluded place at the centre	70.5
	5. Secure environment (3 items)
4.	I can feel safe with the other attendees	85.4
2.	The security is high at the centre	84.0
8.	I am not disturbed by the other attendees	74.8
	6. DA specific (9 items)
35.	It is fun to go to the centre	87.4
29.	I get to learn how to perform the activities	83.7
30.	Participation makes me feel fellowship with others	83.1
31.	I get an insight into what abilities I have	82.6
34.	The activities feel meaningful	82.4
32.	The activities are adapted to my abilities	82.3
27.	I have learned that it is important to be punctual	80.5
28.	The activities are useful in my everyday life	76.6
33.	I have a place that I feel is mine at the centre	66.7

n = 218. Items not meeting an acceptable quality level of 80% agree/totally agree are underscored.

Sorted by dimension and percentage agree:

^a agree (score 3) and totally agree (score 4) combined.