2 Paper Questionnaire

2019 NATIONAL
SURVEY OF PSYCHIATRISTS

The 2019 National Survey of Psychiatrists (NSP) is being conducted by
the United States Census Bureau on behalf of the Substance Abuse and
Mental Health Services Administration of the U.S. Department of Health
and Human Services.
We appreciate your help with this important survey. If you need help or
have questions about completing this form, please call 1-888-369-3615 or
email us at [email protected].

FORM NSP-1
(05/21/2019) Draft 24

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Start Here

A5.

Have you EVER provided direct clinical care
as a psychiatrist?
Yes ➔ SKIP to Question A7

Respond online today at:

No

https://respond.census.gov/nsp
OR

A6.

Complete this form and mail it back
as soon as possible.

Why have you never provided direct clinical
care as a psychiatrist? Mark all that apply.
Did not enjoy clinical care
Wanted to pursue alternate career

Section A.
Eligibility

Clinical care did not pay well enough
Other

A1.

Are you currently licensed to practice medicine
in the U.S.?

A7.

What is your current employment status?
Mark one box only.

Yes
Employed ➔ SKIP to Section D on page 13
No ➔ If No, you do not need to complete the
rest of this questionnaire. Please mark
“No” and return this questionnaire in
the envelope provided so we know you
are not eligible.

Looking for work
Retired
Other

A2.

Did you complete your residency in psychiatry?
A8.

Yes
No ➔ If No, you do not need to complete the
rest of this questionnaire. Please mark
“No” and return this questionnaire in
the envelope provided so we know you
are not eligible.
A3.

Do you think you will provide direct clinical
care as a psychiatrist in the future?
Yes
No ➔ SKIP to Section E on page 13
Don’t know ➔ SKIP to Section E on page 13

Are you currently providing direct clinical care
as a psychiatrist? Direct clinical care includes
care you provide in-person or through
telepsychiatry.

A9.

When do you think you will provide direct
clinical care as a psychiatrist in the future?
In less than a year

Yes ➔ SKIP to Section B on page 3
1 to 2 years
No
In more than two years
A4.

Have you provided direct clinical care as a
psychiatrist within the PAST TWO YEARS?

Don’t know

Yes ➔ SKIP to Section C on page 8

SKIP to Section E on page 13

No

2

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Section B.
Current Employment in
Direct Clinical Care
B1.

B2.

How many different employers do you have?
Include employment in which you do not provide
clinical care.
Settings

In which of the following areas do you feel
competent to treat patients? Mark all that
apply even if you have not completed a fellowship
or board certification in that specialty.

B3.

What setting(s) do you provide direct clinical
care within? Mark all that apply.

Addiction Psychiatry
Community Mental Health Center (CMHC)
Administrative Psychiatry
Criminal justice setting
Child and Adolescent Psychiatry
Community Psychiatry

Crisis center/emergency behavioral
health center

Consultation-Liaison Psychiatry

Day program

Emergency Psychiatry

Federally Qualified Health Center (FQHC)

Forensic Psychiatry

Group home

Gender Identity Issues

Health Maintenance Organization (HMO)

General Psychiatry

Hospital - General or university-based

Geriatric Psychiatry

Hospital - State

Intellectual Disability Psychiatry

Long term care

Military Psychiatry

Primary care or co-located/integrated care
office or clinic

Psychiatric Research

Psychiatric hopsital - Private/free-standing

Psychiatric Informatics

Private practice (solo or group)

Psychoanalysis

Residential setting - Mental Health (MH)
or Substance Use Disorder (SUD)

PTSD and Trauma-related Disorders

Student health center/clinic at a
college/university

Sexual Orientation Issues

VA or military medical center

Traumatic Brain Injury

Other

Other

3

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B4.

What percentage of time do you spend on each
of the following types of work activities during
a typical week? Do not use decimals.
a. Direct patient care
Include all time spent
directly interacting with
patients, in-person or
by telehealth, and
collaborative care

B7.

%

Yes
No

b. Documentation and
follow-up related to
patient care

%

c. Programs/services
leadership

%

d. Teaching

%

B8.

e. Research

%

f. Other

%

B5.

Are you currently able to provide psychiatric
services to patients in a language other than
English WITHOUT using an interpreter or
translator?
Yes
No ➔ SKIP to Question B10a

B9.

Total

During a typical week, do you personally
provide care using telepsychiatry in your
workplace? Telepsychiatry refers to the provision
of psychiatric services through communication
technology, usually video conferencing.

In which language(s) other than English are
you able to provide psychiatric services to
patients WITHOUT using an interpreter or
translator? Mark all that apply.
Spanish
Chinese (including Mandarin and
Cantonese)

100%

During a typical week, what percentage of your
patient care time do you spend in inpatient and
outpatient settings?

Tagolog (including Filipino)

a. Inpatient

%

Arabic

b. Outpatient

%

Vietnamese

French
American Sign Language

Total

100% of
patient care time

Other
B10a.

B6.

During a typical week, what percentage of
your patients are in the following age groups?
Do not use decimals.
a. Children aged 17 and
younger

Yes
No ➔ SKIP to Question B11a on page 5

%

b. Adults aged 18-25

%

c. Adults aged 26-64

%

Are you currently treating any patients with
Clozapine?

B10b. During a typical week, how many patients for
whom you prescribe Clozapine do you see as
outpatients?
I don’t see any as outpatients during
a typical week
1 to 5

d. Adults aged 65 and older

Total

%

6 to 10
11 to 20

100%

21 to 50
More than 50

4

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B11a.

B17a.

Are you currently treating any patients with
long acting injectable antipsychotics?
Yes

Yes

No ➔ SKIP to Question B12

No ➔ SKIP to Question B19

B11b. During a typical week, how many patients for
whom you prescribe long acting injectable
antipsychotics do you see as outpatients?

B12.

B13.

B17b. Which of the following treatment methods are
you currently providing? Mark all that apply.

I don’t see any as outpatients during
a typical week

Acceptance and Commitment Therapy

1 to 5

Cognitive Behavioral Therapy

6 to 10

Cognitive Remediation Therapy

11 to 20

Dialectical Behavioral Therapy

21 to 50

Health Education

More than 50

Interpersonal Therapy
Mentalization Behavioral Therapy

Are you currently treating any patients for
Substance Use Disorders for whom you have
prescribed Naltrexone?

Psychoanalysis

Yes

Psychodynamic Therapy

No

Psychoeducation
Supportive Therapy

Are you currently treating any patients for
Opioid Use Disorder for whom you have
prescribed Methadone?

Other:

Yes

B18.

No
B14.

B15.

For which of the following do you offer
therapy? Mark all that apply.
Individuals

Have you obtained a waiver authorizing you
to prescribe Buprenorphine?

Couples

Yes

Families

No ➔ SKIP to Question B17a

Groups

Are you currently treating any patients for
Opioid Use Disorder for whom you have
prescribed Buprenorphine?

B19.

Yes

Are you providing court-mandated outpatient
treatment to any patients in your current
caseload?
Yes

No ➔ SKIP to Question B17a
B16.

As part of your clinical practice, are you
currently providing therapy, psychotherapy,
or counseling?

No

How many individual patients do you treat
using Buprenorphine during a typical week?
Patients

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B20.

B22.

Which of the following best describes your
current employment arrangement?
Mark all that apply.
Self-employed
Salaried employment
Hourly employment

Do you work in an Integrated Care Model for
primary care and behavioral health during a
typical week? An Integrated Care Model is
defined as tightly integrated, on-site teamwork
with a unified care plan as a standard approach
to care for designated populations. Connotes
organizational integration as well, often
involving social and other community services.
Yes

Temporary employment

No

Contractual or consultant employment
B23a.

Other
B21.

Yes

How satisfied or dissatisfied are you with each
of the following dimensions of your work in
direct clinical care?
Very
Very
Satisfied Dissatisfied
satisfied
dissatisfied

Do you use Electronic Health Records to
prescribe medication?

No

N/A

B23b. Do you use Electronic Health Records to
store/maintain patient health records?

a. Amount of

time for
documentation

Yes

b. Amount of time

No

doing prior
authorizations

c. Amount of

B24.

time spent
on electronic
health records

Which of the following best describes whether
you currently accept new patients?
I am currently accepting new patients.

d. Ease of using

the electronic
health record
system

I am not currently accepting any new
patients.

e. Amount of

I am not currently seeking new patients
but will make occasional exceptions.

time allotted
to see patients

f. Ability of

B25.

team to work
together
effectively

g. Amount

On average, how much time do you schedule
for new patient intake sessions? Mark only one.
Less than 20 minutes

of stress
associated with
patient acuity

20 to 39 minutes

h. Availability of

40 to 59 minutes

psychosocial
resources for
my patients

60 minutes or more

i. Amount of

responsibility

j. Financial

compensation

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B26.

About how much additional time do you spend
on documentation and other tasks related to an
intake session? Mark only one.

Answer the following questions only in regard to the
setting in which you provide direct clinical care. If you
provide direct clinical care in more than one setting,
please answer in reference to the setting in which you
most recently worked.

No additional time
Less than 20 minutes

B30.

20 to 39 minutes

Yes ➔ SKIP to Question B32

40 to 59 minutes

No

60 minutes or more
B27.

Does the setting in which you provided care
most recently accept insurance?

B31.

On average, how much time do you schedule for
sessions with existing patients? Mark only one.

Which of the following are reasons that setting
does not accept insurance? Mark all that apply.

Less than 20 minutes

Administrative burden

20 to 39 minutes

Low reimbursement rates

40 to 59 minutes

High demand for behavioral health services

60 minutes or more

It’s a free clinic
Other

B28.

About how much additional time do you spend
on documentation and other tasks related to
sessions with existing patients? Mark only one.

SKIP to Section E on page 13
B32.

No additional time
Less than 20 minutes

What types of insurance are accepted by the
setting in which you most recently provided
clinical care? Mark all that apply.

20 to 39 minutes

Commercial insurance

40 to 59 minutes

Medicare

60 minutes or more

Medicaid
VA

B29.

Approximately when do you plan to retire from
providing direct clinical care?

Tricare

Already retired

Other

In less than a year

Don’t know

In 1 to 2 years

SKIP to Section E on page 13

In 3 to 5 years
More than 5 years from now
Don’t know

7

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Section C.
Previous Employment in
Direct Clinical Care

C2.

How many different employers did you have?
Include employment in which you did not
provide clinical care.
Employers

Answer the following questions only if you have
worked in direct clinical care during the past two
years, but are not currently doing so. Otherwise,
please SKIP to Section E on page 13.
C1.

C3.

What setting(s) did you provide direct clinical
care within? Mark all that apply.
Community Mental Health Center (CMHC)

In which of the following areas did you feel
competent to treat patients? Mark all that apply
even if you had not completed a fellowship or
board certification in that specialty.

Criminal justice setting
Crisis center/emergency behavioral
health center

Addiction Psychiatry

Day program

Administrative Psychiatry

Federally Qualified Health Center (FQHC)

Child and Adolescent Psychiatry

Group home

Community Psychiatry

Health Maintenance Organization (HMO)

Consultation-Liaison Psychiatry

Hospital - General or university-based

Emergency Psychiatry

Hospital - State

Forensic Psychiatry

Long term care

Gender Identity Issues
General Psychiatry

Primary care or co-located/integrated
care office or clinic

Geriatric Psychiatry

Psychiatric hospital - Private/free-standing

Intellectual Disability Psychiatry

Private practice (solo or group)

Military Psychiatry

Residential setting - Mental Health (MH)
or Substance Use Disorder (SUD)

Psychiatric Research

Student health center/clinic at a
college/university

Psychiatric Informatics
VA or military medical center
Psychoanalysis
Other
PTSD and Trauma-related Disorders
Sexual Orientation Issues
Traumatic Brain Injury
Other

8

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C4.

C7.

What percentage of time did you spend on
each of the following types of work activities
during a typical week? Do not use decimals.
a. Direct patient care
Include all time spent
directly interacting with
patients, in-person or
by telehealth, and
collaborative care
b. Documentation and
follow-up related to
patient care

During a typical week, did you personally
provide care using telepsychiatry in your
workplace? Telepsychiatry refers to the provision
of psychiatric services through communication
technology, usually video conferencing.

%
Yes
No
%

c. Programs/services
leadership

%

d. Teaching

%

e. Research

%

f. Other

%

C8.

Were you able to provide psychiatric services
to patients in a language other than English
WITHOUT using an interpreter or translator?
Yes
No ➔ SKIP to Question C10a

C9.

In which language(s) other than English were
you able to provide psychiatric services to
patients WITHOUT using an interpreter or
translator? Mark all that apply.
Spanish

Total
C5.

100%

Chinese (including Mandarin and
Cantonese)

During a typical week, what percentage of your
patient care time did you spend in inpatient and
outpatient settings?

Tagolog (including Filipino)

a. Inpatient

%

Arabic

b. Outpatient

%

Vietnamese

French
American Sign Language

Total

100% of
patient care time

Other
C10a.

C6.

During a typical week, what percentage of your
patients were in the following age groups?
Do not use decimals.
a. Children aged 17 or younger

%

b. Adults aged 18 to 25

%

c. Adults aged 26 to 64

%

d. Adults aged 65 and older

%

Did you treat any patients with Clozapine?
Yes
No ➔ SKIP to Question C11a on page10

C10b. During a typical week, how many patients for
whom you prescribed Clozapine did you see
as outpatients?
I didn’t see any as outpatients during
a typical week
1 to 5

Total

6 to 10

100%

11 to 20
21 to 50
More than 50

9

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C11a.

C17a.

Did you treat patients using long acting
injectable antipsychotics?
Yes

Yes

No ➔ SKIP to Question C17

No ➔ SKIP to Question C19

C11b. During a typical week, how many patients for
whom you prescribed long acting injectable
antipsychotics did you see as outpatients?

C12.

C17b. Which of the following treatment methods were
you providing? Mark all that apply.

I didn’t see any as outpatients during
a typical week

Acceptance and Commitment Therapy

1 to 5

Cognitive Behavioral Therapy

6 to 10

Cognitive Remediation Therapy

11 to 20

Dialectical Behavioral Therapy

21 to 50

Health Education

More than 50

Interpersonal Therapy
Mentalization Behavioral Therapy

Did you treat any patients for Substance Use
Disorders for whom you prescribed Naltrexone?

Psychoanalysis

Yes

Psychodynamic Therapy

No
C13.

Psychoeducation

Did you treat any patients for Opioid Use
Disorder for whom you prescribed Methadone?

Supportive Therapy
Other:

Yes
No
C14.

C15.

C18.

Did you obtain a waiver authorizing you to
prescribe Buprenorphine?

For which of the following did you offer
therapy? Mark all that apply.
Individuals

Yes

Couples

No ➔ SKIP to Question C17a

Families
Groups

Did you treat any patients for Opioid Use
Disorder for whom you prescribed
Buprenorphine?

C19.

Yes
No ➔ SKIP to Question C17a
C16.

As part of your clinical practice, were you
providing therapy, psychotherapy, or
counseling?

Were you providing court-mandated outpatient
treatment to any patients in your most recent
caseload?
Yes
No

How many individual patients did you treat
using Buprenorphine during a typical week?
Patients

10

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C20.

C22.

Which of the following best describes the
employment arrangement of your most recent
clinical care work? Mark all that apply.
Self-employed
Salaried employment
Hourly employment

Did you work in an Integrated Care Model for
primary care and behavioral health during a
typical week? An Integrated Care Model is
defined as tightly integrated, on-site teamwork
with a unified care plan as a standard approach
to care for designated populations. Connotes
organizational integration as well, often
involving social and other community services.
Yes

Temporary employment

No

Contractual or consultant employment
C23a.

Other
C21.

Yes

How satisfied or dissatisfied were you with each
of the following dimensions of your work in
direct clinical care?
Very
Very
Satisfied Dissatisfied
satisfied
dissatisfied

Did you use Electronic Health Records to
prescribe medication?

No

N/A

C23b. Did you use Electronic Health Records to
store/maintain patient health records?

a. Amount of

time for
documentation

Yes

b. Amount of time

No

doing prior
authorizations

c. Amount of

C24.

time spent
on electronic
health records

On average, how much time did you schedule
for new patient intake sessions? Mark only one.
Less than 20 minutes

d. Ease of using

the electronic
health record
system

20 to 39 minutes
40 to 59 minutes

e. Amount of

time allotted
to see patients

60 minutes or more

f. Ability of

team to work
together
effectively

C25.

g. Amount

of stress
associated with
patient acuity

About how much additional time did you
spend on documentation and other tasks
related to an intake session? Mark only one.
No additional time

h. Availability of

Less than 20 minutes

psychosocial
resources for
my patients

20 to 39 minutes

i. Amount of

40 to 59 minutes

responsibility

j. Financial

60 minutes or more

compensation

11

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C26.

C27.

C30.

On average, how much time did you schedule
for sessions with existing patients? Mark only
one.

What types of insurance were accepted by the
setting in which you most recently provided
clinical care? Mark all that apply.

Less than 20 minutes

Commercial insurance

20 to 39 minutes

Medicare

40 to 59 minutes

Medicaid

60 minutes or more

VA

About how much additional time did you spend
on documentation and other tasks related to
sessions with existing patients? Mark only one.

Tricare
Other

No additional time

Don’t know

Less than 20 minutes

C31.

What is your current employment status?

20 to 39 minutes

Employed ➔ Continue to Section D
on page 13

40 to 59 minutes

Looking for work ➔ SKIP to Section E
on page 13

60 minutes or more

Retired ➔ SKIP to Section E on page 13
Answer questions C28 - C30 only in regard to the
setting in which you provided direct clinical care. If
you provided direct clinical care in more than one
setting, please answer in reference to the setting in
which you most recently worked.
C28.

Other ➔ SKIP to Section E on page 13

Did the setting in which you provided care
most recently accept insurance?
Yes ➔ SKIP to Question C31
No

C29.

Which of the following are reasons that setting
did not accept insurance? Mark all that apply.
Administrative burden
Low reimbursement rates
High demand for behavioral health services
It was a free clinic
Other

SKIP to Question C31

12

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Section D.
Current Employment
NOT in Direct Clinical Care
D1.

D5.

Do you think you will provide direct clinical
care as a psychiatrist in the future?
Yes
No ➔ SKIP to Section E

Do you work in healthcare or a healthcare
related field?

Don’t know ➔ SKIP to Section E

Yes
D6.
No ➔ SKIP to Question D4
D2.

When do you think you will provide direct
clinical care as a psychiatrist in the future?
In less than a year

Which of the following best describes your
profession within the healthcare field? Mark
one box only.

In 1-2 years

Business

In more than two years

Administrative

Don’t know

Research
Other
D3.

Section E.
Education and Credentials

During a typical week, how many different
employment settings do you work in?
E1.

Settings ➔ SKIP to Question D5

Are you an MD or DO?
MD

D4.

In what field are you currently employed?
Mark one box only.

DO

Active Duty Military

E2.

What year did you graduate from medical
school?

E3.

Where was your medical program located?

Agriculture, Forestry, Fishing, Hunting
and Mining
Arts, Entertainment, Recreation,
Accommodation, and Food Services
Construction and Manufacturing

In the U.S.
Print state abbreviation. ➔

Educational Services, Health Care and
Social Assistance

Outside the U.S.
Print name of foreign country or
U.S. territory. C

Finance, Insurance, Real Estate, and
Rental and Leasing
Information
Professional, Scientific, Management,
Administrative, and Waste Management
Services
Public Administration
Transportation and Warehousing, and
Utilities
Wholesale and Retail Trade
Other

13

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E4.

E8.

How did you finance your medical degree?
Mark all that apply.

Which specialties are you currently ABPN
board certified in? Mark all that apply.

Department of Veterans Affairs employer
tuition plan

Addiction Medicine

Employer tuition reimbursement plan

Addiction Psychiatry

Mental Health Service Corps

Brain Injury Medicine

Military funding

Child and Adolescent Psychiatry

Self-financed (personal savings, earnings
from employment, money from spouse or
family members, etc.)

Child Neurology

Student loan(s) - Federal

Consultation-Liaison Psychiatry (formerly
Psychosomatic Medicine)

Clinical Neurophysiology

Student loan(s) - Other
Epilepsy
Scholarship(s) or grant(s) - Federal

E5.

Forensic Psychiatry

Scholarship(s) or grant(s) - State/local
government

General Adult Psychiatry

Scholarship(s) or grant(s) - Non-government

Geriatric Psychiatry

Other resources

Hospice and Palliative Medicine
Neurodevelopmental Disabilities

What year did you complete your general
psychiatry residency? Do not include fellowhips.

Neurology
Neuromuscular Medicine

E6.

Pain Medicine

How much debt did you have upon completing
your residency?

Sleep Medicine

$25,000 or less

Vascular Neurology

$25,001 to $100,000

Other

$100,001 to $150,000

None, I have never attained an ABPN
board certification

$150,001 to $200,000

None, my ABPN board certification
has lapsed

$200,000 to $250,000
More than $250,000
E7.

E9.

Are you currently ABPN board certified?

Are you currently certified by a board other
than the ABPN?
Yes

Yes ➔ Continue to Question E8

No

No ➔ SKIP to Question E9

Continue to Section F on page 15

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Section F.
Demographics

F7.

Do you currently describe yourself as male,
female or transgender?
Male

F1.

What languages do you speak fluently,
other than English? Mark all that apply.

Female

No additional languages

Transgender

Spanish

None of these

Chinese (including Mandarin and
Cantonese)

F2.

F8.

Tagolog (including Filipino)

Lesbian or Gay

Vietnamese

Straight, that is, not gay

Arabic

Bisexual

French

Something else:

American Sign Language

I don’t know the answer

Other

I prefer not to answer

Are you of Hispanic, Latino, or Spanish origin?

F9.

Yes
No
F3.

F4.

Which of the following best represents how
you think of yourself?

Including employment earnings, investment
earnings, and other income, what was your
2017, pre-tax annual income?
Less than $50,000

What is your race? Mark all that apply.

$50,001 to $100,000

White

$100,001 to $150,000

Black or African American

$150,001 to $200,000

Asian

$200,001 to $250,000

American Indian or Alaska Native

$250,001 to $300,000

Native Hawaiian or Other Pacific Islander

$300,001 to $350,000

What year were you born?

$350,001 to $400,000
More than $400,000

F5.

What is your sex?
Male
Female

F6.

What sex were you assigned at birth, on your
original birth certificate?
Male
Female
Don’t know

15

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Thank you for your
participation.
Please return this survey in the
enclosed, postage-paid envelope.

16

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