The Canadian Psychiatric Association practice profile survey: I. Methods and general sample characteristics

Abstract

Objective: To describe the rationale, methodology, and general sample characteristics of the Canadian Psychiatric Association (CPA) practice profile survey, a national survey of psychiatrists and psychiatric practice. Method: Mail-in interviews were sent to all Canadian psychiatrists listed in their provincial registers and to all active CPA members (total = 3628). Respondents provided general information about their professional activities for one 24-hour day and detailed information for 1 randomly selected hour. Patient information - including sociodemographics, diagnostic profiles, functioning levels, risk of harm to self or others, and disposition - was elicited for 1 patient seen during the random hour as well as for the most seriously ill patient receiving clinical services that day. Results: There was a 45.5% response rate. Questionnaires completed by nonpsychiatrists or with a large percentage of missing or incorrect data were eliminated (107 surveys), resulting in a final sample size of 1570. CPA members and those from Western Canada responded at a higher rate to the survey. The results suggest some cause for concern about future manpower shortages. Most psychiatrists practise eclectically, seeing patients across the life-span, and working in both community and institutional settings. The old and the young appear to be underserviced, compared with adults. Conclusions: This study represents an important step forward in evaluating the profile and activities of the profession.