PURPOSE: There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Mental Health Programmes. METHODS: This is an international multicentre cross-sectional study conducted in 25 hospitals across 11 countries. The research team at each study site approached a consecutive target sample of 30 discharged patients to measure their satisfaction using the five-item study-specific questionnaire. Individual and institution level correlates of 'low satisfaction' were examined by comparisons of binary and multivariate associations in multilevel regression models. RESULTS: A final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards the upper end of the scale, with a median total score of 44 (interquartile range 38-48) out of 50. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio. CONCLUSION: Further studies on patients' satisfaction should additionally pay attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients' disempowerment, and power imbalance.

″Victor Babes University of Medicine and Pharmacy of Timisoara Timisoara Romania

Association for the Improvement of Mental Health Programmes Geneve Switzerland

Bogomolets National Medical University Kyiv Ukraine

Children's Clinical University Hospital Riga Latvia

Clinic of Psychiatry University Clinical Center of the Republic of Srpska Banjaluka Bosnia and Herzegovina

Department of Acute and Biological Psychiatry Clinical Hospital Centre Osijek Osijek Croatia

Department of Psychiatry A at Razi Hospital Manouba Tunisia

Department of Psychiatry and Medical Psychology Nizhny Novgorod State Medical Academy Nizhny Novgorod Russian Federation

Department of Psychiatry College of Medicine University of Lagos Lagos Nigeria

Department of Psychiatry Jos University Teaching Hospital Jos Nigeria

Department of Psychiatry Samara State Medical University Samara Russian Federation

Department of Psychiatry University of Ibadan Ibadan Nigeria

Department of Social Psychiatry National Institute of Mental Health Topolová 748 250 67 Klecany Czech Republic

Faculty of Medicine University of Tunis El Manar Tunis Tunisia

Federal Neuro Psychiatric Hospital Benin City Nigeria

General Hospital Dr Josip Bencevic Slavonski Brod Croatia

Great Ormond Street Hospital London UK

Institute of Neuropsychiatric Care Prague Czech Republic

Institute of Psychiatry Psychology and Neuroscience King's College London London UK

KBC Zagreb Zagreb Croatia

Lagos State University College of Medicine Ikeja Nigeria

Makerere University College of Health Sciences Kampala Uganda

Medical University Named After 1 I Mechnikov Saint Petersburg Russian Federation

Mental Health Clinic No1 Nizhny Novgorod Russian Federation

Neuropsychiatric Hospital Craiova Romania

Neuropsychiatric Hospital Dr Ivan Barbot Popovaca Croatia

NHS Tayside Dundee Scotland UK

Occupational Therapy Department St George's University Hospitals NHS Foundation Trust London UK

Osijek University Hospital Osijek Croatia

Proyecto SUMA Medicus Buenos Aires Argentina

Psychiatric ward General Hospital Pula Pula Croatia

Railway Clinical Hospital 1 Station Kyiv Kyiv Ukraine

Research Institute School of Psychology University of Buenos Aires Buenos Aires Argentina

Ryazan State Medical University Ryazan Russian Federation

Saint Petersburg Bekhterev Psychoneurological Research Institute Saint Petersburg Russian Federation

Samara Psychiatric Hospital Samara Russian Federation

Tambov Psychiatric Hospital Tambov Russian Federation

Unit of Psychiatric Epidemiology and Evaluation Saint John of God Clinical Research Centre Brescia Italy

Unit of Psychiatry Saint John of God Clinical Research Centre Brescia Italy

University Hospital Center Rijeka Rijeka Croatia

University Hospital Centre Zagreb Zagreb Croatia

University Psychiatric Hospital Vrapce Zagreb Croatia

Zagreb School of Medicine Zagreb Croatia

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