TITLE

Predictors of treatment discontinuity in outpatient mental health care

AUTHOR(S)
Berghofer, G.; Schmidl, F.; Rudas, S.; Steiner, E.; Schmitz, M.
PUB. DATE
June 2002
SOURCE
Social Psychiatry & Psychiatric Epidemiology;Jun2002, Vol. 37 Issue 6, p276
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background Discontinuity of service utilisation among newly referred community outpatients is a common concern. However, knowledge about factors associated with service utilisation is inconsistent. Method This study examined service utilisation of 323 newly referred patients in three community mental health centres (CMHCs) in Vienna, Austria over a 4-month period. Of this original cohort, 111 patients were interviewed at treatment start to identify factors associated with treatment discontinuity. Results After 4 months, one-third of the 323 newly referred patients had dropped out of CMHC treatment; one-third discontinued treatment at the CMHCs because of referrals or mutual agreement on treatment termination, and one-third was still in CMHC treatment. Multivariate analyses yielded a negative association between treatment discontinuity and the diagnosis of schizophrenia, availability of home care, living alone, and a high quality of life in the domains living situation and family/significant others. A positive association was found with unemployment, previous psychiatric admissions, low patient satisfaction with staff competence, and high self-assessment in global functioning. Conclusion In treatment, differing perceptions of a patient's health status by the patient and by the psychiatrist should be addressed. Professionals should be aware that patients' difficulties in private social relations might affect both treatment alliance and service utilisation.
ACCESSION #
6878816

 

Related Articles

  • THE PROBABILITIES OF PSYCHIATRIC HOSPITALIZATION OF MENTAL HEALTH CLINIC PATIENTS. dos Reis, Leonardo Naves; Ribeiro Simplicio, Julio Cesar; da Silva Gherardi-Donato, Edilaine Cristina; Guidorizzi Zanetti, Ana Carolina // SMAD Revista Electronica Salud Mental, Alcohol y Drogas;Apr-Jun2015, Vol. 11 Issue 2, p61 

    The objective of this study is to evaluate the factors of prediction (diagnostic and sociodemographic characteristics) regarding psychiatric outpatient mental health among users. The study was conducted from secondary data, extracted from the charts and analyzed through logistic regression, to...

  • Factors Influencing Diversion from State Mental Health Hospitals. Marty, Douglas A.; Manthey, Trevor J.; Rapp, Charles A.; Holter, Mark C. // International Journal of Psychosocial Rehabilitation;2013, Vol. 18 Issue 2, p141 

    Objective: While there has been much research on predictors of psychiatric hospitalizations there has been little research on the community resources, supports and processes used to divert a hospital episode. The purpose of this study is to address this gap by studying (1) the community...

  • Why CMHCs belong in networks. Ray, Charles G. // Behavioral Health Management;Mar/Apr95, Vol. 15 Issue 2, p15 

    Discusses the role of community mental health centers (CMHCs) in the future of behavioral managed care. Development of provider-owned networks; Managed care challenges for CMHCs; CMHC's targets for acquisitions and mergers.

  • Largest mental health care facilities.  // New Orleans CityBusiness (1994 to 2008);08/25/97, Vol. 18 Issue 8, p31 

    Presents the top rated mental health care facilities situated in New Orleans, Louisiana, ranked by the number of licensed psychiatric beds. Name of facilities and addresses; Number of licensed psychiatric beds; Affiliated clinics and areas of specialization; Contact information.

  • An application of the Agency Cultural Competence Checklist to... Dana, Richard H.; Matheson, Lou // Psychosocial Rehabilitation Journal;Apr92, Vol. 15 Issue 4, p101 

    Presents information on the Ethnic Minority/Refugee Mental Health Program, of the Spokane Community Mental Health center (CMHC), a community mental health center that serves a small multicultural population, looking specifically at the application of the Agency Cultural Competence Checklist....

  • Peace of mind. Milne, Kirsty // New Statesman;2/7/97, Vol. 126 Issue 4320, p26 

    Focuses on the success of a community mental health care program in Birmingham, England. Launch of a psychiatric emergency team to attend to sick residents; Treatment of mentally ill patients at home; Regular visits by psychiatric nurses.

  • Developing a community mental health program in the Venezuelan Andes: Implications... Levine, Phyllis // Psychiatric Rehabilitation Journal;Winter1996, Vol. 19 Issue 3, p23 

    Examines the development of an innovative community mental program in the state of Merida, a rural area in Venezuela. Use of staff training, coordination with existing health systems and community development.

  • Chiefs of staff, mental health.  // New Orleans CityBusiness (1994 to 2008);4/1/96 Supplement Health Care Revie, Vol. 16 Issue 39, p36A 

    Focuses on the chiefs of staff at mental health facilities in New Orleans, Louisiana. Names of these executives; Where they are employed; Details about their professional and educational background; General information on these mental health executives.

  • Directors of nursing, mental health.  // New Orleans CityBusiness (1994 to 2008);4/1/96 Supplement Health Care Revie, Vol. 16 Issue 39, p39A 

    Presents information on the directors of nursing in mental health facilities in the New Orleans, Louisiana area. Names of the directors; Where they are employed; Details about their professional and educational background; General information about these mental health directors.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics