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Met and unmet needs of service users with substance use disorders: a latent class analysis.

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Title: Met and unmet needs of service users with substance use disorders: a latent class analysis.
Authors: Chantry, Mégane (AUTHOR), Fernandez, Kim (AUTHOR), Magerman, Jürgen (AUTHOR), Goethals, Ilse (AUTHOR), De Ruysscher, Clara (AUTHOR), Sinclair, Deborah L. (AUTHOR), Delespaul, Philippe (AUTHOR), Antoine, Jérôme (AUTHOR), Vanderplasschen, Wouter (AUTHOR), Lorant, Vincent (AUTHOR), Nicaise, Pablo (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Nov2025, Vol. 60 Issue 11, p2613-2624. 12p.
Subjects: Social integration, Need (Psychology), Demographic characteristics, Latent class analysis (Statistics), Resource allocation, Patients, Recovery movement, Substance-induced disorders
Abstract: Purpose: People with substance use disorders (SUD) have multiple associated health and social conditions that may lead to unmet needs, even among those receiving professional support. Furthermore, the fragmented nature of care provision may also contribute to unmet needs. Therefore, we assessed the needs of service users with SUD and identified their need profiles and their determinants. We aimed to identify possible gaps in care that were likely to hamper recovery pathways and to examine whether the care supply was tailored to users' needs. Methods: A convenience sample of 562 service users with SUD drawn from diverse mental health services in Belgium, including specialised services for SUD, were assessed using the Camberwell Assessment of Needs– Short Appraisal Schedule (Patient version). Additional indicators, including social integration, substance use behaviours, service utilisation, and well-being, were also collected. A Latent Class Analysis was performed to identify need profiles. Results: Three classes of need profiles were identified. The largest class comprised 40% of the sample and included individuals with few needs. The second class encompassed 35% of the sample and represented those whose needs were mainly met by professionals. The third class, accounting for 25% of the sample, included individuals with many unmet needs. Across classes, company, intimate relationships, and sexual expression were the most reported unmet needs. Poor social integration and subjective well-being were associated with more needs, either met or unmet. Females (OR = 2.76, p = 0.025), and those using social services (OR = 2.54, p = 0.022), homecare and outreach services (OR = 3.683, p = 0.003) were more likely to report met needs. In contrast, using multiple substances was associated with unmet needs (OR = 3.87, p = 0.008). There was no significant association between need profiles and the use of specialised services for SUD. Conclusion: Needs of people with SUD go beyond substance use and encompass social relationships. Although no major differences in need profiles were observed based on service utilisation, social integration and interpersonal relationships deserve greater attention from the perspective of the personal recovery of people with SUD. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Met and unmet needs of service users with substance use disorders: a latent class analysis.
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  Data: <searchLink fieldCode="AR" term="%22Chantry%2C+Mégane%22">Chantry, Mégane</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fernandez%2C+Kim%22">Fernandez, Kim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Magerman%2C+Jürgen%22">Magerman, Jürgen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goethals%2C+Ilse%22">Goethals, Ilse</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Ruysscher%2C+Clara%22">De Ruysscher, Clara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sinclair%2C+Deborah+L%2E%22">Sinclair, Deborah L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Delespaul%2C+Philippe%22">Delespaul, Philippe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Antoine%2C+Jérôme%22">Antoine, Jérôme</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vanderplasschen%2C+Wouter%22">Vanderplasschen, Wouter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lorant%2C+Vincent%22">Lorant, Vincent</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nicaise%2C+Pablo%22">Nicaise, Pablo</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Nov2025, Vol. 60 Issue 11, p2613-2624. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Social+integration%22">Social integration</searchLink><br /><searchLink fieldCode="DE" term="%22Need+%28Psychology%29%22">Need (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Demographic+characteristics%22">Demographic characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Latent+class+analysis+%28Statistics%29%22">Latent class analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Resource+allocation%22">Resource allocation</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Recovery+movement%22">Recovery movement</searchLink><br /><searchLink fieldCode="DE" term="%22Substance-induced+disorders%22">Substance-induced disorders</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: People with substance use disorders (SUD) have multiple associated health and social conditions that may lead to unmet needs, even among those receiving professional support. Furthermore, the fragmented nature of care provision may also contribute to unmet needs. Therefore, we assessed the needs of service users with SUD and identified their need profiles and their determinants. We aimed to identify possible gaps in care that were likely to hamper recovery pathways and to examine whether the care supply was tailored to users' needs. Methods: A convenience sample of 562 service users with SUD drawn from diverse mental health services in Belgium, including specialised services for SUD, were assessed using the Camberwell Assessment of Needs– Short Appraisal Schedule (Patient version). Additional indicators, including social integration, substance use behaviours, service utilisation, and well-being, were also collected. A Latent Class Analysis was performed to identify need profiles. Results: Three classes of need profiles were identified. The largest class comprised 40% of the sample and included individuals with few needs. The second class encompassed 35% of the sample and represented those whose needs were mainly met by professionals. The third class, accounting for 25% of the sample, included individuals with many unmet needs. Across classes, company, intimate relationships, and sexual expression were the most reported unmet needs. Poor social integration and subjective well-being were associated with more needs, either met or unmet. Females (OR = 2.76, p = 0.025), and those using social services (OR = 2.54, p = 0.022), homecare and outreach services (OR = 3.683, p = 0.003) were more likely to report met needs. In contrast, using multiple substances was associated with unmet needs (OR = 3.87, p = 0.008). There was no significant association between need profiles and the use of specialised services for SUD. Conclusion: Needs of people with SUD go beyond substance use and encompass social relationships. Although no major differences in need profiles were observed based on service utilisation, social integration and interpersonal relationships deserve greater attention from the perspective of the personal recovery of people with SUD. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00127-025-02861-z
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      – Code: eng
        Text: English
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