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Forensic and Civil Psychiatric Inpatients: Development of the Inpatient Satisfaction Questionnaire

Dr. Shiva is Clinical Assistant Professor, Department of Psychiatry, New York University School of Medicine, and Adjunct Assistant Professor of Forensic Psychology, John Jay College of Criminal Justice, New York, NY. Dr. Haden is Assistant Professor, Department of Psychology, Long Island University, Brooklyn, NY. Dr. Brooks is Clinical Neuropsychologist, Staten Island University, Staten Island, NY. Address correspondence to: Andrew Shiva, PhD, NYU/Bellevue Hospital Center, Forensic Inpatient Psychiatry Service (19W33), First Avenue at 27th Street, New York, NY 10016. E-mail: andrew.shiva{at}bellevue.nychhc.org

The present study reports on the development of a measure designed to assess satisfaction with service among civil and forensic psychiatric inpatients. Survey items drawn from a review of existing measures were administered to 427 forensic and 416 civil male psychiatric inpatients. In an effort to develop a reliable and valid measure, a rigorous test development procedure was undertaken involving item and principal components analyses followed by a confirmatory factor analysis of the remaining items. For forensic inpatients, a 14-item questionnaire (Forensic Inpatient Satisfaction Questionnaire; F-ISQ) emerged that addressed four domains of satisfaction: Medication and Treatment, Physical Environment, Telephone Access, and Unit Rules and Procedures. For civil inpatients, an 11-item questionnaire (Civil Inpatient Satisfaction Questionnaire; C-ISQ) included two domains of satisfaction: Needs and Opportunities and Food and Comfort. Strong internal reliability and concurrent validity with other established measures of patient satisfaction were demonstrated.