Prospective controlled study of psychiatric out-patient non-attendance

Author:

Killaspy Helen,Banerjee Sube,King Michael,Lloyd Margaret

Abstract

BackgroundPsychiatric clinics have high non-attendance rates and failure to attend may be a sign of deteriorating mental health.AimsTo investigate why psychiatric out-patients fail to attend, and the outcome of attenders and non-attenders.MethodProspective cohort study of randomly selected attenders and non-attenders at general adult psychiatric out-patient clinics. Subjects were interviewed at recruitment and severity of mental disorder and degree of social adjustment were measured. Six and 12 months later their engagement with the clinic and any psychiatric admissions were ascertained.ResultsOf the 365 patients included in the study, 30 were untraceable and 224 consented to participate. Follow-up patients were more psychiatrically unwell than new patients. For follow-up patients, non-attenders had lower social functioning and more severe mental disorder than those who attended. At 12-month follow-up patients who missed their appointment were more likely to have been admitted than those who attended.ConclusionsThose who miss psychiatric follow-up out-patient appointments are more unwell and more poorly socially functioning than those who attend. They have a greater chance of drop-out from clinic contact and subsequent admission.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

Reference17 articles.

1. An Analysis of Out-patient Services

2. A survey of hospital outpatient referral rates, Wales, 1985 D T Jones

3. Non-attendance at Outpatient Clinics: Is It Related to the Referral Process?

4. Why 100 patients failed to keep an out-patient appointment – audit in a dermatology department;Verbov;Journal of the Royal Society of Medicine,1992

5. Predictors of missed appointments for psychiatric consultations in a primary care clinic;Grunebaum;Psychiatric Services,1996

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