Irish Journal of Medical Science

, Volume 180, Issue 1, pp 195–201 | Cite as

What do you think of us? Evaluating patient knowledge of and satisfaction with a psychiatric outpatient service

  • F. Jabbar
  • P. CaseyEmail author
  • S. L. Schelten
  • B. D. Kelly
Original Article



This study aimed to measure patient satisfaction with the care they were receiving; examine patients’ knowledge of the psychiatric services in general; and identify variables associated with satisfaction.


Patients attending the Mater Misericordiae University Hospital psychiatric outpatient clinics over a 13-week period, and the Mater Misericordiae University Hospital clozapine clinic over a 4-week period and were invited to complete the Barker Scale of Patients’ Views Towards Care Received From Psychiatrists.


One-hundred and ninety-two patients were invited to participate and there was a response rate of 94%. Eighty-six percent of respondents were satisfied with their care; 92% stated psychiatrists were caring towards them; 85% that psychiatrists know what they are doing; 84% that their illness was explained by their psychiatrist; and 65% that psychiatric care is improving; but 65% stated that psychiatric services are still not good enough. Eighty-six percent were, or had been, in receipt of a psychological treatment. On multi-variable analysis, satisfaction was associated with the view that doctors explained treatment clearly, the view that doctors do not rely excessively on medication, and having been visited by a community mental health nurse.


Patients attending psychiatry outpatient services reported a high degree of satisfaction with the treatment they were receiving, although there were discrepancies between satisfaction with their own specific service and with psychiatric services in general.


Outpatients Patient satisfaction Mental health services 


Conflict of interest statement



  1. 1.
    Department of Health and Children (2001) Quality and fairness: a health system for you. Stationary Office, DublinGoogle Scholar
  2. 2.
    Howard PB, Rayens MK, El-Mallakh P, Clark JJ (2007) Predictors of satisfaction among adult recipients of Medicaid mental health services. Arch Psychiatr Nurs 21:257–269CrossRefPubMedGoogle Scholar
  3. 3.
    Boyer L, Francois P, Doutre E, Weil G, Labarere J (2006) Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital. Int J Qual Health Care 18:359–364CrossRefPubMedGoogle Scholar
  4. 4.
    Horgan A, Casey P (2007) What do you think of us? Attitudes to psychiatric treatment. Q J Ment Health 1:67–74Google Scholar
  5. 5.
    Gigantesco A, Picardi A, Chiaia E, Balbi A, Morosini P (2002) Patients’ and relatives’ satisfaction with psychiatric services in a large catchment area in Rome. Eur Psychiatry 17:139–147CrossRefPubMedGoogle Scholar
  6. 6.
    Barker DA, Shergill SS, Higginson I, Orrell MW (1996) Patients’ views towards care received from psychiatrists. Br J Psychiatry 168:641–646CrossRefPubMedGoogle Scholar
  7. 7.
    Greenwood N, Key A, Burns T, Bristow M, Sedgwick P (1999) Satisfaction with in-patient psychiatric services. Br J Psychiatry 174:159–163CrossRefPubMedGoogle Scholar
  8. 8.
    Hansson L (1989) Patient satisfaction with inpatient psychiatric care. A study of a one year population of patients hospitalised in a sectorised care organization. Eur Arch Psychiatry Neurol Sci 239:93–100CrossRefPubMedGoogle Scholar
  9. 9.
    Fitzpatrick R (1997) The assessment of patient satisfaction: assessment and evaluation of health and medical care. Open University Press, BuckinghamGoogle Scholar
  10. 10.
    Kilbourne AM, McCarthy JF, Post EP, Welsh D, Pincus HA, Bauer MS, Blow F (2006) Access to and satisfaction with care comparing patients with and without serious mental illness. Int J Psychiatry Med 36:383–399CrossRefPubMedGoogle Scholar
  11. 11.
    Statistical Package for the Social Sciences 1998: SPSS IncGoogle Scholar
  12. 12.
    Perreault M, Rogers WL, Leichner P et al (1996) Patients’ requests and satisfaction with services in an outpatient psychiatric setting. Psychiatr Serv 47:287–292PubMedGoogle Scholar
  13. 13.
    McCann T, Clark E (2008) Attitudes of patients towards mental health nurse prescribing of antipsychotic agents. Int J Nurs Pract 14:115–121CrossRefPubMedGoogle Scholar
  14. 14.
    Mojtabai R, Olfson M (2008) National trends in psychotherapy by office-based psychiatrists. Arch Gen Psychiatry 65:962–970CrossRefPubMedGoogle Scholar
  15. 15.
    Calnan ML (1988) Evaluation of medicine and medical practice: report of a pilot study. Int J Health Serv 18:311–322CrossRefPubMedGoogle Scholar
  16. 16.
    Nunley M (1994) Why psychiatrists in India prescribe so many drugs. Cult Med Psychiatry 20:165–197CrossRefGoogle Scholar
  17. 17.
    Treichel AJ (2003) Stigma keeps residents from admitting psychotropic use. Psychiatr News 38:5Google Scholar
  18. 18.
    Jatovic M, Jenkins JH (2007) Is antipsychotic medication stigmatizing for people with mental illness? Int Rev Psychiatry 19:107–112CrossRefGoogle Scholar
  19. 19.
    Donahue EK, Ashkin E, Pathman ED (2005) Length of patient–physician relationship and satisfaction. BMC Fam Pract 6:40CrossRefPubMedGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2010

Authors and Affiliations

  • F. Jabbar
    • 1
  • P. Casey
    • 1
    Email author
  • S. L. Schelten
    • 1
  • B. D. Kelly
    • 1
  1. 1.Department of Adult PsychiatryMater Misericordiae University Hospital, University College DublinDublin 7Ireland

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