Differences in service utilization and community adjustment between community mental health clients with and without substance abuse disorders were studied for 144 outpatients, 37 percent of whom had dual diagnoses (substance abuse and another disorder). The association of dual diagnosis with poor service use and adjustment is discussed. (SLD)

An 82-item multidimensional questionnaire, the Verona Service Satisfaction Scale, was recently developed in Italy to measure client satisfaction with psychiatric services. The scale contains 29 items from the English Service Satisfaction Scale. Psychometric characteristics and test use are discussed. Results support the use of the scale in service…

Assessments of 41 mentally ill adults (consumers of mental health services) of their level of functioning were compared with assessments by family members and mental health services case managers. Moderate correlations are found among the perspectives, and the relevance of the three perspectives for community-based service provision is discussed.…