Reasons for non‐attendance in youth mental health clinics: Insights from mobile messaging communications

Author:

Ayalde Jeremiah1ORCID,Soong Wei2,Thomas Shane2,McCann Polly3,Griffiths Jennifer4,Nicholls Craig4,Heble Samir5,Dragovic Milan6,Waters Flavie67ORCID

Affiliation:

1. University of Western Australia (UWA) School of Medicine Perth Western Australia Australia

2. Youth Axis North Metropolitan Youth Mental Health Perth Western Australia Australia

3. Youth Reach South North Metropolitan Youth Mental Health Perth Western Australia Australia

4. YouthLink North Metropolitan Youth Mental Health Perth Western Australia Australia

5. Graylands Hospital North Metropolitan Health Service, Mental Health, Public Health & Dental Services Perth Western Australia Australia

6. Clinical Research Centre North Metropolitan Health Service, Mental Health, Public Health & Dental Services Perth Western Australia Australia

7. UWA School of Psychological Science Perth Western Australia Australia

Abstract

AbstractAimNon‐attendance at appointments in youth mental health services is a common problem which contributes to reduced service effectiveness and unmet needs. Reasons cited by young people for non‐attendance are poorly understood. Information derived from short‐message‐service (SMS) conversations about appointments between patients and clinicians can uncover new insights about the circumstances leading to ‘did not attend’ events.MethodsText messages between young people and clinicians were examined in a retrospective audit of medical records in two youth mental health services in Perth, Australia. Frequently non‐attending young people aged 16–24 (n = 40) engaged in 302 SMS message chains about appointments. Mixed methods included quantitative data and qualitative thematic analysis of textual data.ResultsMedical reasons (32/190, 16.8%) and forgetfulness (20/190, 10.5%) were the most frequent reasons for non‐attendance. Major issues included non‐avoidable events while others were potentially preventable and could be addressed by the service.ConclusionsThe analysis of mobile communications in clinical practice can be used for service evaluation and to reveal barriers that impede attendance to ongoing care.

Publisher

Wiley

Subject

Biological Psychiatry,Psychiatry and Mental health,Pshychiatric Mental Health

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