Thirty-four % (n = 12) of service customers reported that they would prefer to modify the way they followed their treatment recommendations, with 20 (n = 7) wanting to adhere to them more closely and 14 (n = 5) significantly less closely. Sixty-six percent (n = 23) didn't want to adjust the way they followed suggestions. Of these who didn't choose to alter the way they followed their recommendations, only 57 (n = 13) reported that they followed recommendations precisely. This means that almost a third of service customers (29 , n = ten) did not take medication as suggested and had been delighted with their degree of adherence (Table 3). Service users were asked to rate their satisfaction with their present medication on a scale of 1 (not at all happy) to five (very satisfied) (Figure 1). They were also asked to rate their satisfaction with their current supportGibson et al. BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page four ofTable 1 What service customers do self-reported service user behavioursSelf-reported service user behaviour Service customers who reported following recommendations specifically Service customers who described intentionally andor unintentionally undertaking something different to suggestions Service users who described intentionally undertaking one thing various to recommendations Of those 2 or more instances a month Intentionally taking less medication Intentionally taking a lot more medication Service users who described unintentionally doing a thing contrary to suggestions Of these two or additional times a month Forgot to take medication Symptoms prevented taking medication Unable to motivate self to take medication Sensible reasons Unsure about suggestions Lost prescription 1225 (48) 1725 (68) 1225 (48) 1225 (48) 925 (36) 525 (20) 125 (four) 919 (47) 1219 (63) 1219 (63) 2535 (71) Service users (no.total ) 1635 (46) 2735 (77)Table 2 Service user expectations and outcomes selfreported service user behavioursSelf-reported service user behaviour Occasions on which service users' expectation of a positive order OP1206 outcome was followed by an outcome of your exact same valence Occasions on which service users' expectation of a negative outcome was followed by an outcome with the same valence Occasions on which service users' expectation of a optimistic outcome was followed by an outcome of damaging valence Occasions on which service customers appropriately predicted constructive or negative valence on the outcome of carrying out a thing contrary to suggestions. Occasions of intentional non-adherence (no. total ) 1833 (55)55 (one hundred)1935 (54)1533 (45)2338 (61)excellent a life as you can or insofar as it was essential to stay clear of adverse consequences "To remain in one piece, remain balanced" (P13) "In order to obtain the extremely greatest out of life and remain safe" (P1) "Meds retain my head just above water, failing taking them...I and people about me spend the price" (P41) "Scared of getting sectioned and I dislike a few of the Schizophrenia symptoms" (P35) This subtheme was further supported by service users' factors for satisfaction with their current medication "As extended as I'm on medication I have not been ill" (P11) "I began to get my life back and have some degree of normality" (P39) Conversely, dissatisfaction with current medication appeared to reflect the approaches in which medication failed to support `living well', for instance troubles with sideeffects, lac.