Purpose: To describe outcomes of clients with serious mental illnesses who used regional public mental health services; and what the public mental health system did well or needed to change to better satisfy clients' needs.

Methods: A modal case study analysis method was used with 15 clients. Participants were interviewed three times.

Findings: Participants reported dissatisfaction with their social functioning and general health, and unmet needs for case management services, social/recreational activities, and vocational rehabilitation.

Conclusions: The case study method is an effective way for nurses to evaluate public mental health systems and to determine areas for system intervention.

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http://dx.doi.org/10.1111/j.1744-6163.2003.tb00670.xDOI Listing

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