Elopement From the Open Psychiatric Unit

Meyer, George G.; Martin, John; Lange, Paul

doi:10.1097/00005053-196704000-00008

Cited by 17 publications

(10 citation statements)

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“…Careful assessment of absconding risk in patients at the point of admission and the provision of a more ‘caring’ treatment environment, especially during the early days following admission, may reduce the risk of absconding. However, as Meyer et al [17, p.304] concluded from their investigation of absconding over 30 years ago, ‘appropriate preventive intervention remains a real possibility as well as a challenge’.…”

Section: Discussionmentioning

confidence: 99%

Absconding Behaviour: an Exploratory Investigation in an Acute Inpatient Unit

Meehan

Morrison

McDougall

1999

Aust N Z J Psychiatry

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Section: Discussionmentioning

confidence: 99%

Absconding Behaviour: an Exploratory Investigation in an Acute Inpatient Unit

Meehan

Morrison

McDougall

1999

Aust N Z J Psychiatry

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Section: Why Patients Abscondmentioning

confidence: 99%

“…Often the family member would be someone with whom the patient had an ambivalent relationship. Other explanations for absconding cited in the literature include the tendency of absconders to be impulsive (Meyer et al 1967, Altman et al 1972b); a greater inclination towards noncompliance in general (Altman et al 1972b, Goodrich & Fullerton 1984 drasena & Miller 1988); fashions or fads within the ward community (Weaver et al 1978); and a propensity to act out under stress (Altman et al 1972b). Cancro (1968) speculated on the possibility that patients feel threatened by over-caring doctors who`are ®lled with therapeutic zeal'.…”

Section: How and When Patients Abscondmentioning

confidence: 99%

Absconding: a literature review

Bowers

Jarrett

Clark

1998

Psychiatric Ment Health Nurs

105

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Incidents of absconding from inpatient care are high-risk events which have been linked to serious harm to self and others. This paper brings together for the first time findings from a disparate body of research literature spanning many years. Varied definitions of absconding and methods of calculating the rates of absconding make comparisons between studies difficult. Nevertheless, it is clear that absconders are more often young, male, from disadvantaged groups, and suffering from schizophrenia, compared to admissions generally. Roughly half of the abscondings take place while the patient is temporarily off the ward with permission, the remainder of absconding patients use an assortment of means to make their escape. A large variety of reasons for absconding have been elicited from patients or advanced as possibilities by researchers. Only six evaluative studies of interventions impacting upon absconding have been reported in the literature, but no firm conclusions can be drawn from them.

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“…There is considerable evidence that despite his greater exposure to treatment, a patient who has previously dropped out of treatment is much more likely to do so on a present admission than a new admission or than one who is seeking treatment for the first time (Baekeland et al, 1973;Drolet & Porter, 1949;G. G. Meyer et al, 1967;Rickels, 1966;Zax, Marsey, & Biggs, 1961).…”

Section: New Versus Readmitted Patientsmentioning

confidence: 99%

“…, while the mean or median number of visits ranges from only 3 to 13 (Affleck & Garfield, 1961;Affleck-& Mednick, 1959;Bahn & Norman, 1959;Brown & Kosterlitz, 1964;Dodd, 1971;Garfield & Affleck, 1959;Gibby, Stotsky, Miller, &Hiler, 1953;Gliedman et al, 1957;Rogers, 1960;Sullivan, Miller, & Smelser, 1958;Weiss & Schaie, 1958). Similarly, in group psychotherapy from 33% to 50% of the patients drop out of treatment (Berne, 1955;Sethna & Harrington, 1971) and from 32% to 79% of the psychiatric inpatients on open wards have been reported to sign out against medical advice within the first few months of treatment (Daniels, Margolis, & Carson, 1963;Meyer, Martin, & Lange, 1967;Strickland & Crowrie, 1963;Van Stone & Gilbert, 1972).…”

mentioning

confidence: 99%

Dropping out of treatment: A critical review.

Baekeland

Lundwall²

1975

Psychological Bulletin

1,016

554

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After a discussion of methodological issues of the past 20 years, literature on dropping out of treatment was critically reviewed in six areas: hospital treatment of general psychiatric and tubercular patients, outpatient treatment of internal medical conditions, alcoholism, heroin addiction, general psychiatric outpatient psychotherapy, and double-blind drug studies. Fifteen factors were found to predict dropping out in 100%, 83%-88%, and 60%-75% of the relevant studies: (a) social isolation and/or unaffiliation, therapist attitudes and behavior, discrepancies between patient and therapist treatment expectations; (b) passive-aggressive behavior, family attitudes and behavior, motivation, behavioral and/or perceptual dependence, psychological mindedness and/ or -denial, symptom levels and symptom relief, socioeconomic status, sociopathic features, alcoholism and/or drug dependence; (c) age, sex, and social stability.One of the most vexing problems facing the physician, whether he is a surgeon, internist, or psychiatrist, is that far too many of those entrusted to his care, both inpatients and outpatients, drop out of treatment before they have completed it to his satisfaction. Although the question of the dropout has most often engaged the attention of psychiatrists, it also crops up from time to time in papers by internists, for whom there is no reason to believe that it is any less serious a problem. Where studied, the dropout problem has usually been in the context of treating chronic conditions that require prolonged treatment. The extent of this problem can be inferred ^rom the fact that in general psychiatric clinics, 20%-57% of the patients fail to return after the first visit (Blenkner,

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Elopement From the Open Psychiatric Unit

Cited by 17 publications

References 0 publications

Absconding Behaviour: an Exploratory Investigation in an Acute Inpatient Unit

Absconding Behaviour: an Exploratory Investigation in an Acute Inpatient Unit

Absconding: a literature review

Dropping out of treatment: A critical review.

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