Interview Guide: Administrative

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INTERVIEW GUIDE

Name: _________________________________________________________ Date: ________________


Position: _____________________________________________________________________________
Address: _____________________________________________________________________________
Years of Service: _______________________________________________________________________
Affiliations: ___________________________________________________________________________
Signature: ____________________________________________________________________________

ADMINISTRATIVE:
1) What is the Mission/Vision of the Institution?

2) How are you working for these goals?

3) What are the facilities and services?

4) Do you have facilities that answers the needs of patients?

5) Do you have source of funding?

6) What/Who are the possible organization that can help improve your finances?

INTERVIEW GUIDE
Name: _________________________________________________________ Date: ________________
Position: _____________________________________________________________________________
Address: _____________________________________________________________________________
Years of Service: ______________________________________________________________________
Affiliations: ___________________________________________________________________________
Signature: ____________________________________________________________________________

For Doctors:
1) How do you select your patients? What are the guidelines? Who are these patients?

2) Where they came from?

3) What are their illnesses?

4) Problems you've encountered:


Admission of Patients:

Patients:

Staffs:

Facilities:

5) What are the plans for this institution regarding Mental Health?

6) What are the process of admitting the patients?

7) Statistics of the number of Patients


Consultations:

RECOMMENDATIONS:

In-house patients:

GENERAL STATISTICS:
Bed Capacity:
Total Admissions:
Total Discharges:
Average Length of Hospitalization:
Bed Occupancy Rate:
Deaths:
No. of Patients given free medicines:

Admission By Age:
No. of Cases
0-10
11-20
21-30
31-40
41-50
51-60
61 and above

Consultation of Patients By Age:


No. of Cases
0-10
11-20
21-30
31-40
41-50
51-60
61 and above

Admission by Diagnosis
No. of Cases
Schizophrenia
Status Epilepticus
Substance Induced Psychosis
Brief Reactive Psychosis
Mentally Retarted
Seizure D/o controlled
Bipolar Affective D/o

Consultation by Diagnosis
No. of Cases
Schizophrenia
Status Epileptics
Substance Induced Psychosis
Brief Reactive Psychosis
Mentally Retarded
Seizure D/o controlled
Bipolar Affective D/o

Mood Disorders
- Major Depressive Disorder
- Dysthymic Disorder
- Bipolar Disorder

Schizophrenia

Anxiety Disorders
- Generalized Anxiety Disorder (GAD)
- Obsessive-Compulsive Disorder (OCD)
- Post-traumatic Stress Disorder (PTSD)
- Social Phobia
- Agoraphobia
- Specific Phobia
- Panic Disorder

Eating Disorders

Attention Deficit Hyperactivity Disorder (ADHD)

Autism

Personality Disorders
- Antisocial Personality Disorder
- Avoidant Personality Disorder
- Borderline Personality Disorder

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