Revised April 18, 2005
RESPONDENT’S DEMOGRAPHIC PROFILE
Country
Name
Age
Gender
Occupation
Highest Educational Attainment
Address
Phone Number
Email
Group/Institutional Affiliation
Years of service at present work
QUESTIONNAIRE ON STATUS OF MENTAL HEALTH RESEARCH
(For University Administrators)
Number
Question
1. Personal
1.1
ID Number
1.2
How old are you?
1.3
Are you male or female?
What is your current job title (e.g. Dean,
Registrar, etc)?
2. Institutional profile
2.1
What are the major areas of activity in
the field of mental health in which your
institution is engaged or involved?
(Please tick all that apply)
Response Categories
Years
Female
Male
1.4
3. Mental health research resources
3.1
In your institution, how many people are
engaged in mental health-related
research?
3.2
What percentages of their working
hours, on average, do they spend on
mental health research?
Services
Research
Training
Advocacy
Policy formulation or consultancy
None
Any other, please specify
0
1-5
6-10
>10
<10%
10-25%
25-50%
>50%
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Revised April 18, 2005
3.3
Is your institution involved in training
personnel for research in mental health?
No
Only short courses (i.e. lasting for less than
one year)
Only degree programmes, e.g. PhD
Both short courses and degree programmes
3.4
In your institution, how many current
research projects are there in the field of
mental health?
0
1-5
6-10
>10
3.5
Is there access to internet-based
databases of mental health research
literature in your institution?
No
Yes, but only free websites (e.g. PubMed)
Yes, to both free and paid resources (e.g. PsyLit)
3.6
How many mental health-related
journals can be accessed in your
institution’s library (split into national
and international)?
a. National (i.e ones that mainly or exclusively publish
papers from your country)
None
1 Journal
2-3 Journals
4-10 Journals
>10 Journals
b. International (i.e. predominately publishing papers
from different countries)
None
1 Journal
2-3 Journals
4-10 Journals
>10 Journals
3.7
Please provide a list of such journals?
a. National
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
b. International
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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Revised April 18, 2005
3.8
Do any of your staff members have
access to technical support in
epidemiology and/or biostatistics?
No
Yes, within my institution
Yes, from outside my institution
3.9
Do any of your staff members have
access to technical support in
neurosciences and/or basic sciences
research skills e.g. neuroimaging,
genetics, etc?
Is there an established Ethical Review
Board in your institution?
No
Yes, within my institution
Yes, from outside my institution
3.11
Does your institution have ongoing
research collaboration with international
bodies, agencies or groups?
No
Yes
3.12
Does your institution have ongoing
research collaboration with community
based groups?
No
Yes
3.13
Approximately how much research
funding has your institution had access
to in the fields of mental health in the
past 12 months? (i.e. the approximate
amount of money for mental health
research activities in the past 12
months)?
How much funding has your institution
itself provided for mental health
research?
3.10
3.14
4. Mental Health Research Impact
4.1
Based on your experience and
knowledge, are there any policies,
programmes, advocacy movements, or
practices that have resulted from the
evidence of mental health research
findings done in your country?
4.2
If yes, please give one important
example.
4.3
4.4
Based on your experience and
knowledge, is there any established
mental health research evidence that
should have influenced policy,
programme, advocacy or practice but
has not done so?
If yes, please give one example of such
evidence.
No
Yes, within my institution
Yes, from outside my institution
(please state the currency)
(please state the currency)
No
Yes
No
Yes
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Revised April 18, 2005
5. Role of Media
5.1
In your experience and knowledge, are
the media in your country involved in
any of the following activities in the
area of mental health research? Please
tick all that apply.
6. Mental Health Research Priorities
6.1
Over the next five years, what in your
opinion are the most important mental
health research priorities in your
country? Please indicate your top three
for each of the following categories of
mental health research priorities.
(1 = First priority, 2 = Second
priority, 3 = Third priority). Please
do not mark more than one choice
with the same rank.
Dissemination of results
Advocacy for implementation
Popularization of research culture
No activity at all
Displaying basic information or news about
general health services delivered
Sensationalizing mental illness in a negative way
Emphasizing a medical (as opposed to psychosocial)
model of mental illness
Type of Mental Health Research
Epidemiological studies of burden and risk factors
Clinical Trials
Social science research e.g. illness beliefs,
measurement
Health systems research e.g. services evaluation,
policy and economic studies
Basic sciences research, including genetics and
neuroimaging
Mental Health Issues
Psychoses
Depression/Anxiety
Substance use
Childhood disorders
Dementia
Epilepsy
Personality
Learning disabilities
Eating disorders
Suicide
Other, please specify
Specific Populations
Women
Children and Adolescents
Poor
Refugees
Minorities
Elderly persons
Persons exposed to Violence/Trauma
Prisoners
Disabled persons
Other, specify
Criteria for Prioritizing
Burden of disease in the population
Availability of funds
Personal interest
Policy maker request
Social justice/equity
Commissioned by external agency
Other, please specify
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Revised April 18, 2005
Please refer other researchers or stakeholders in your country who are also involve in mental health
research and practice:
Name
Mailing Address
Phone/Fax/Mobile
Email
Kindly attach your CV if possible.
THANK YOU FOR YOUR VALUABLE TIME AND CONTRIBUTION!
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