State Prison Mental Heath Services Recipients
Perception of Care Survey
Bruce B. Way Æ Don A. Sawyer Æ Deborah Kahkejian Æ Catherine Mofﬁtt Æ
Stephanie N. Lilly
Published online: 24 August 2007
Ó Springer Science+Business Media, LLC 2007
Studies have demonstrated the importance of patient perceptions’ of mental
health service quality. No studies, however, could be found that surveyed recipients in
prison, despite the rapid growth of patients, and litigation in these settings.
Patients were asked to complete an anonymous survey in private, and sealed it
in an envelope.
Of 613 respondents, most were satisﬁed (79%), agreed they had sufﬁcient access
to therapists (78%), were involved with treatment decisions (84%), and thought the MH
services they had received would help them better deal with a crisis and emotional stress
(75%). There were differences among mental health programs/housing units. Several of
perception questions were signiﬁcantly correlated with medication compliance, admission
to crisis observation cells, and receiving disciplinary infractions.
Random samples were requested, but likely only a convenience sample was
obtained. However, the positive results suggest the need to strive to enhance patient quality
of care ratings.
Attkisson and Zwick  published a client satisfaction instrument for mental health ser-
vices in 1982, which became the gold standard in the ﬁeld. In their article, they reported
that higher satisfaction scores on this instrument were correlated with (a) remaining in
B. B. Way (&) Á D. A. Sawyer Á D. Kahkejian Á C. Mofﬁtt Á S. N. Lilly
Central New York Psychiatric Center (CNYPC), New York State Ofﬁce of Mental Health (OMH),
PO Box 300, Marcy, NY 13034, USA
B. B. Way Á D. A. Sawyer
Department of Psychiatry, Upstate Medical University, Syracuse, NY 13210, USA
Psychiatr Q (2007) 78:269–277