Characteristics of patients completing referrals from an emergency department to a psychiatric outpatient clinic

Gaudio, Andrew C. Del; Carpenter, Paul J.; Stein, Leonard S.; Morrow, Gary R.

doi:10.1016/0010-440x(77)90026-8

Cited by 29 publications

(3 citation statements)

References 13 publications

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“…The high no-show rate by blacks may have been a product of social class rather than purely racial-cultural. Lower social class and race have been associated with not showing for initial psychiatric outpatient clinic appointments [30][31][32][33]. Meyer et al [31] reported that 78% of patients not showing for the first psychiatric clinic appointment were class V. Wilder et al [32] noted that of emergency room patients seen in psychiatric consulta tion, black patients had a low probability of complying with recommenda tions for outpatient psychiatric follow-up.…”

Section: Resultsmentioning

confidence: 99%

Adherence by Medical-Surgical Inpatients to Recommendations for Outpatient Psychiatric Treatment

Ww¹

1983

Psychother Psychosom

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A records review of medical-surgical inpatients at a university hospital reveals that only 20 % of patients seen in psychiatric consultation followed recommendations to seek psychiatric outpatient treatment. The study is unique in that immediate appointments with the consulting psychiatrists were offered prior to patients’ discharge. The low rate is similar to the findings by others. Diagnosis of depression was associated with patients agreeing to psychiatric treatment. Race was significantly associated with patients’ keeping appointments, although social class may have been an indirect factor. Transformation of the medical-surgical inpatient to psychiatric outpatient remains a poorly understood process.

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Section: Resultsmentioning

confidence: 99%

Adherence by Medical-Surgical Inpatients to Recommendations for Outpatient Psychiatric Treatment

Ww¹

1983

Psychother Psychosom

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“…This confirmation strengthens the reliability of the subjects' selfreported data. Surprisingly, the expected predictors of adherence (age, education and diagnosis) [10][11][12] were not significant, perhaps suggesting that the therapeutic encounter and quality of explanations provided in the ED directly influenced short-term adherence. The patients' general perception of their level of understanding showed only a trend association with the detailed understanding of medication instructions determined by items from the structured interview and was not associated with adherence.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] Following psychiatric emergency department (ED) discharge specifically, higher levels of adherence have been correlated with older age, more years of education, diagnosis of depression, greater family support and stable accommodation, while lower levels have been correlated with use of psychoactive substances. [10][11][12] Studies have also found that patients in general (i.e. not simply patients with psychiatric illness) tend to show a limited understanding of ED discharge recommendations: only 37-59% could adequately answer questions regarding the diagnosis and treatment instructions they had just been given.…”

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confidence: 99%

Comprehension and companionship in the emergency department as predictors of treatment adherence

Nitzan

Hirsch

Walter

et al. 2012

Australas Psychiatry

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Relationship between the social and demographic characteristics of post-sentence offenders and the outcomes of forensics psychiatric referrals

Prandoni¹

1984

J. Clin. Psychol.

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Examined the relationship between the social and demographic characteristics of post-sentence offenders (N = 240) and outcome of outpatient forensic psychiatric referrals using multiple regression analysis. The referral process was divided into three stages: Decision to refer, compliance with referral, and outcome of referral, and the following research questions were explored: (1) whether there were differences between the social and demographic characteristics of offenders who were referred by court order of the sentencing judge and those referred by their probation officer; (2) the relationship between socioeconomic status and completion of referral; (3) the relationship between socioeconomic status and recommendation for further mental health services; and (4) the relationship between source of referral and recommendation for mental health services. Results suggest that the relationship between social and demographic variables and the offender's interaction with a forensic mental health system is markedly different from the voluntary clients and mental health resources studied in earlier research.

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Characteristics of patients completing referrals from an emergency department to a psychiatric outpatient clinic

Cited by 29 publications

References 13 publications

Adherence by Medical-Surgical Inpatients to Recommendations for Outpatient Psychiatric Treatment

Adherence by Medical-Surgical Inpatients to Recommendations for Outpatient Psychiatric Treatment

Comprehension and companionship in the emergency department as predictors of treatment adherence

Relationship between the social and demographic characteristics of post-sentence offenders and the outcomes of forensics psychiatric referrals

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