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J R Soc Med. 1993 January; 86(1): 28–30.
PMCID: PMC1293820

Do psychiatric patients know what is good for them?


The paper reports the findings of a medical audit exercise which monitored 192 consecutive psychiatric admissions. Approximately two-thirds of patients, consultants and referrers provided information on admission objectives and the degree to which they were attained. One-third of the patients furnished information on social problems and satisfaction with treatment. Sanctuary was rated as an important admission objective by patients but neglected by consultants and referrers. Patient satisfaction with treatment was significantly correlated with attainment of patient as well as consultant objectives, and negatively correlated with social problems. Agreement between consultant and patient on admission objectives was inversely related to both duration of contact with psychiatric services and number of previous admissions suggesting that congruence with consultants may be lost over time. The limitations imposed by variable response rates are acknowledged. It is concluded that serious note should be taken of psychiatric patients' own treatment objectives.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kalman TP. An overview of patient satisfaction with psychiatric treatment. Hosp Community Psychiatry. 1983 Jan;34(1):48–54. [PubMed]
  • Lebow J. Consumer satisfaction with mental health treatment. Psychol Bull. 1982 Mar;91(2):244–259. [PubMed]
  • Larsen DL, Attkisson CC, Hargreaves WA, Nguyen TD. Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann. 1979;2(3):197–207. [PubMed]
  • Sishta SK, Rinco S, Sullivan JC. Clients' satisfaction survey in a psychiatric inpatient population attached to a general hospital. Can J Psychiatry. 1986 Mar;31(2):123–128. [PubMed]
  • Corney RH. Development and use of a short self-rating instrument to screen for psychosocial disorder. J R Coll Gen Pract. 1988 Jun;38(311):263–266. [PMC free article] [PubMed]
  • Strömgren E. Changes in the incidence of schizophrenia? Br J Psychiatry. 1987 Jan;150:1–7. [PubMed]

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