OBJECTIVES: The purpose of this study is to identify factors that predict whether clients will respond that they were “generally satisfied” with services received from Kentucky Community Mental Health Centers (CMHCs) in 2010. METHODS: Kentucky Cabinet for Health and Family Services, Department for Behavioral Health Developmental and Intellectual Disabilities (BHDID) conducted a survey to evaluate consumers’ satisfaction with services delivered at the CMHCs in Kentucky. The survey was administered at outpatient clinics operated by CMHCs. The validity and reliability of the survey were reviewed and a logistic regression model was developed using respondents’ characteristics and their responses about several aspects of services. RESULTS: During the fiscal year 2010 (7/1/2009 ~ 6/30/2010), 117,526 adult patients visited Kentucky CMHCs and 7,029 of them participated in the survey, resulting in a 5.98% penetration rate. Logistic regression analyses show that positive perceptions of access, quality and participation in treatment planning significantly increase positive responses for general satisfaction by 21%, 27% and 5%, respectively. (dy/dx = 0.21, 0.27 and 0.05, p<0.05) Females are shown to be more likely to respond positively on general satisfaction (dy/dx = 0.01, p<0.05). Age, race and regional characteristics (rural/urban) were not significantly related to responses to general satisfaction at the 95% confidence level. CONCLUSIONS: Responses to general satisfaction are more associated with responses to other domains than respondents’ demographic characteristics. More specifically, the domains of access, quality, and participation in treatment planning are stronger predictors of a positive response on the “general satisfaction” question, suggesting that more attention to those domains of service could positively influence mental health care recipients’ responses regarding general satisfaction.