Factors Affecting Client Satisfaction in a Large Community-based Youth Mental Health Promotion Programme (Yuva Spandana) in Karnataka, India

Background: Yuva Spandana (YS) is a Youth Mental Health Promotion programme in Karnataka. Under YS, youth facing challenges are provided counselling and support services by trained youth named Yuva Samalochakas and Yuva Parivarthakas at Yuva Spandana Kendras (YSKs). We planned to understand the satisfaction (CS) perspectives of beneficiaries of this mental health promotion model in India.Method: Telephonic interviews were conducted among 140 randomly selected clients who visited YSKs between August and October 2018. Multivariate Linear Regression was done with CS as the outcome and several hypothesised variables as potential exposures that contribute towards CS. All variables that were significantly associated with the outcome (p < 0.10) in univariate and which altered the β-coefficient of at least one preceding variable by 10% were retained in the final model.Results: For every unit increase in cleanliness score at YSK, CS increased by 30%. For every unit increase in level of confidentiality maintained, CS increased by 26%. CS increased among clients who felt multiple options were provided “to a great extent” and “to a moderate extent” to resolve their issue/ problem.Conclusion: Cleanliness, level of confidentiality maintained, and providing multiple options at YSK are associated with increased CS among clients