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Community Mental Health Journal

, Volume 26, Issue 2, pp 151–165 | Cite as

Consumer satisfaction with institutional and community care

  • Patrick W. Corrigan
Articles

Abstract

Rather than addressing the psychiatric patients' preference between institutional and community care, research has addressed the consumers' satisfaction with the respective milieus. Studies of overall satisfaction have found that at least 50% of patients approve of the overall treatment strategies in both settings. However, the discriminative power of overall analyses is limited. This paper reviews those studies which have evaluated consumer satisfaction with components of treatment across four dimensions; characteristics of staff, treatment services, the physical environment, and activities that foster autonomy. Inpatients are pleased with the quality of staff relationships and the hospital surroundings but find that talk therapy can be a nuisance and do not like the loss of freedom and privacy characteristic of a locked ward. Far less research has been completed on outpatient samples such that the four dimensions cannot be readily applied. Community consumers express similar approval of staff and are less critical of medication interventions than inpatients. Research suggests though, that consumer satisfaction in part reflects patient characteristics. Results of this summary have implications for addressing program development in both institutional and community settings.

Keywords

Public Health Treatment Strategy Medication Intervention Health Psychology Program Development 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Allen, J.C., & Barton, G.M. (1976). Patient comments about hospitalization: Implications for change.Comprehensive Psychiatry 17, 631–640.Google Scholar
  2. Allon, R., Graham, J.R., Lilly, R.S., & Friedman, I. (1971). Comparison of the factor structures of patient and staff responses on the Characteristics of the Treatment Environment Scale.Journal of Clinical Psychology 27, 385–390.Google Scholar
  3. Bachrach, L.L. (1984). Asylum and chronically ill psychiatric patients.American Journal of Psychiatry 141, 975–978.Google Scholar
  4. Balch, P., Ireland, J., McWilliams, S., & Lewis, S. (1977). Client expectations of community mental health services.American Journal of Community Psychology 5, 243–247.Google Scholar
  5. Bene-Kochiemba, A., Cotton, P.G., & Fortgang, R.C. (1982). Assessing patient satisfaction with state hospital and aftercare services.American Journal of Psychiatry 139, 660–662.Google Scholar
  6. Binder, R.L., & McCoy, S.M. (1983). A study of patients' attitudes toward placement in seclusion.Hospital and Community Psychiatry 34, 1052–1054.Google Scholar
  7. Chamberlin, J. (1985). An ex-patient's response to Soliday.Journal of Nervous and Mental Disease 173, 288–289.Google Scholar
  8. Corrigan, P.W., Engel, J.D., & Liberman, R.P. (1989).Strategies that facilitate collaboration between patient and practitioner. Manuscript submitted for publication.Google Scholar
  9. Denner, B., & Halprin, F. (1974). Clients and therapists evaluate clinical services.American Journal of Community Psychology 2, 373–378.Google Scholar
  10. Distefano, M., Pryer, M., & Garrison, J. (1980a). Attitudinal, demographic, and outcome correlates of clients' satisfaction.Psychological Reports 45, 287–290.Google Scholar
  11. Distefano, M., Pryer, M., & Garrison, J. (1980b). Psychiatric patients' and staff's perceptions of client satisfaction with hospital services.Psychological Reports 46, 1343–1344.Google Scholar
  12. Distefano, M., Pryer, M., & Garrison, J. (1981). Client satisfaction and interpersonal trust among hospitalized psychiatric patients.Psychological Reports 49, 420–422.Google Scholar
  13. Edwards, D., Yarvis, R., Mueller, D., & Langsley, D. (1978). Does patient satisfaction correlate with success?Hospital and Community Psychiatry 29, 188–190.Google Scholar
  14. Eisen, S., & Grob, M. (1978). Assessing consumer satisfaction from letters to the hospital.Hospital and Community Psychiatry 30, 344–346.Google Scholar
  15. Eisen, S., & Grob, M. (1982). Measuring discharged patients' satisfaction with care at a private psychiatric hospital.Hospital and Community Psychiatry 33, 227–228.Google Scholar
  16. Ellsworth, R., & Maroney, R. (1972). Characteristics of psychiatric programs and their effects on patient's adjustment.Journal of Consulting and Clinical Psychology 39, 436–447.Google Scholar
  17. Ellsworth, R., Maroney, R., Klett, W., Gordon, H., & Gunn, R. (1971). Milieu characteristics of successful psychiatric treatment programs.American Journal of Orthopsychiatry 41, 427–441.Google Scholar
  18. Essex, D., Fox, J., & Groom, J. (9181). The development, factor analysis, and revision of a client satisfaction form.Community Mental Health Journal 17, 226–235.Google Scholar
  19. Fiester, A. (1979). Goal attainment and satisfaction scores of CMHC clients.American Journal of Community Psychology 7, 181–188.Google Scholar
  20. Friedman, I., Paolino, A.F., Hinko, E.N., Graham, J.R., & Lilly, R.S. (1974). Patient characteristics and perceptions of the mental hospital milieu.Journal of Community Psychology 2, 148–152.Google Scholar
  21. Glenn, R. (1978). Measuring patients' opinions about hospitalization.Hospital and Community Psychiatry 29, 158–161.Google Scholar
  22. Goldstein, R.H., Racy, J., Dressler, D.M., Ciottone, R.A., & Willis, J.R. (1972). What benefits patients? An inquiry into the opinions of psychiatric inpatients and their residents.Psychiatric Quarterly 46, 49–80.Google Scholar
  23. Graham, J.R., Allon, R., Friedman, I., Lilly, R.S. (1971). The ward evaluation scale: A factor analytic study.Journal of Clinical Psychology 27, 118–122.Google Scholar
  24. Graham, J.R., Friedman, I., Lilly, R.S., & Allon, R. (1971). Factor analysis of the patient perception of the ward scale.Journal of Clinical Scale 27, 278–287.Google Scholar
  25. Greenley, J.R., & Schoenherr, R.A. (1981). Organization effects of client satisfaction with humaneness of service.Journal of Health and Social Behavior 22, 2–18.Google Scholar
  26. Hansson, L., & Berglund, M. (1987). Factors influencing treatment outcome and patient satisfaction in a short term psychiatric ward. A path analysis study of the importance of patient involvement in treatment planning.European Archives of Psychiatry and Neurological Science 236, 269–275.Google Scholar
  27. Hansson, L., Berglund, M., Liljencruntz, C., Anderson, G., & Ohman, R. (1985). Patient attitudes in short term psychiatric care.Acta Psychiatrica Scandinavica 72, 193–201.Google Scholar
  28. Kalman, T.P. (1983). An overview of patient satisfaction with psychiatric treatment.Hospital and Community Psychiatry 34, 48–54.Google Scholar
  29. Kaufmann, N.S., Sorensen, J., & Raeburn, S. (1979). Synthesizing the interests of consumers, citizens, and administrators in gathering client feedback.Evaluation and Program Planning 2, 263–267.Google Scholar
  30. Keith-Spiegel, P., Grayson, H., & Spiegel, D. (1970). Using the discharge interview to evaluate a psychiatric hospital.Mental Hygiene 54, 298–300.Google Scholar
  31. Kline, F., Adrian, A., & Spevak, M. (1974). Patients evaluate therapists.Archives of General Psychiatry 31, 113–116.Google Scholar
  32. Koltuv, M., Ahmend, M., Mayer, M.A. (1978). A study of outpatient satisfaction with mental health center services.Hospital and Community Psychiatry 29, 179–182.Google Scholar
  33. LeBow, J. (1982). Consumer satisfaction with mental health treatment.Psychological Bulletin 91, 244–259.Google Scholar
  34. LeBow, J. (1983). Research assessing consumer satisfaction with mental health treatment: A review of findings.Evaluation and Program Planning 6, 211–236.Google Scholar
  35. LeVois, M., Nguyen, T., & Attkisson, C. (1981). Artifact in satisfaction assessment: Experience in community mental health settings.Evaluation and Program Planning 4, 139–150.Google Scholar
  36. Mayer, J., & Rosenblatt, A. (1974). Clash in perspective between mental patients and staff.American Journal of Orthopsychiatry 44, 432–441.Google Scholar
  37. McEvoy, J., Aond, J., Wilson, W., Guy, W., & Hawkins, L. (1981). Measuring chronic schizophrenic patients' attitudes toward their illness and treatment.Hospital and Community Psychiatry 32, 856–857.Google Scholar
  38. Meier, R.M. (1981). Consumer benefits and satisfaction at a day treatment center.Comprehensive Psychiatry 22, 490–499.Google Scholar
  39. McGuire, J., Borowy, T., & Kolin, I. (1986). Attitudes towards mental health professionals in a hospital-based community mental health center.Community Mental Health Journal 22, 39–48.Google Scholar
  40. Moos, R., & Schwartz, J. (1972). Treatment environment and treatment outcome.Journal of Nervous and Mental Disease 154, 264–275.Google Scholar
  41. Piersma, H.L. (1986). Patient comments concerning partial hospitalization.Psychiatric Quarterly 58, 32–41.Google Scholar
  42. Plutchik, R., Karasu, T.B., Conte, H.R., Siegel, B., Jerrett, I. (1978). Toward a rationale for the seclusion process.Journal of Nervous and Mental Disease 166, 571–579.Google Scholar
  43. Rothman, G.H. (1984). Needs of female patients in a veterans psychiatric hospital.Social Work 29, 380–385.Google Scholar
  44. Schroeder, M.R. (1987). Escape from asylum: Response to Wasow.Schizophrenia Bulletin 13, 547–549.Google Scholar
  45. Soliday, S.M. (1985). A comparison of patient and staff attitudes toward seclusion.Journal of Nervous and Mental Disease 173, 282–286.Google Scholar
  46. Sonn, M. (1977). Patients' subjective experiences of psychiatric hospitalization. In: T.C. Manschreck & A.M. Kleinman (Eds.),Renewal in psychiatry (pp. 245–264). New York: Wiley.Google Scholar
  47. Spiegel, D., & Younger, J.B. (1972). Ward climate and community stay of psychiatric patients.Journal of Consulting and Clinical Psychology 39, 62–69.Google Scholar
  48. Splensley, J., Edwards, D., & White, E. (1980). Patient satisfaction and involuntary treatment.American Journal of Orthopsychiatry 50, 725–727.Google Scholar
  49. Wasow, M. (1986). The need for asylum for the chronically mentally ill.Schizophrenia Bulletin 12, 162–167.Google Scholar
  50. Weinstein, R.M. (1972). Patients' perceptions of mental illness: Paradigms for analysis.Journal of Health and Social Behavior 13, 38–47.Google Scholar
  51. Weinstein, R.M. (1979). Patient attitudes toward mental hospitalization: A review of quantitative research.Journal of Health and Social Behavior 20, 237–258.Google Scholar
  52. Willer, R.D., & Miller, G.H. (1978). On the relationship of client satisfaction to client characteristics and outcome of treatment.Journal of Clinical Psychology 34, 157–160.Google Scholar
  53. Wyatt v Stickney (1972). 344F Supp. 33.Google Scholar
  54. Zipple, A.M., Carling, P.J., & McDonald, J. (1987). A rehabilitation response to the call for asylum.Schizophrenia Bulletin, 13, 539–544.Google Scholar

Copyright information

© Human Sciences Press 1990

Authors and Affiliations

  • Patrick W. Corrigan
    • 1
  1. 1.Camarillo-UCLA Clinical Research Center for Schizophrenia and Psychiatric RehabilitationCamarillo

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