The Survey

This Survey was designed for Inpatient Psychiatric Units Only.

It was collected in 1996; plans are underway to update the data.

You may send your answers to James F. Hooper, M.D. or to Joe Alford, PhD

Your hospital will not be identified by name.

Questions: (Sorry, this isn't a form - you can print it and then send the answers)

1. Please list the number of licensed forensic beds you have ____

2. What was your average length of stay for 1996? ____

3. What were your total inpatient days for 1996? ___

4. What were your total number of seclusion hours for 1996? ___

5. What were your total number of seclusion episodes for 1996? ___

6. What were your total number of patients secluded in 1996? ___

7. What were your total number of restraint hours for 1996? ___

8. What were your total number of restraint episodes for 1996? ___

9. What were your total number of patients restrained in 1996? ___

10. How many Adverse Drug Reactions (other than EPS) were reported in 1996? ___

11. How many medication errors wee reported in 1996? ___

(Defined as error in transcribing, or wrong dose, time, patient, medication, or route.)

12. Deleted question

13. Are you currently JCAHO Accredited? ___

14. Are you currently HCFA certified? ____

15. Do you want to receive summary data for bench marking? ___

(Please send your s-mail or e-mail address, and your title & phone #, along with data)

New Questions:

16. What was your current total budget for 1996? ___

17. How many FTEs of Psychiatrists did you have for 1996? ___

18. How many FTEs of PhD/PsyD psychologists did you have for 1996? ___

19. How many RNs did you have for 1996? ___

20. Do you have a training program for Forensic Examiners? ___

If no, would you like information on such? ____

Thanks to all. Data will be updated periodically.