2006
DOI: 10.1176/appi.ps.57.4.531
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Predictors of Missed First Appointments at Community Mental Health Centers After Psychiatric Hospitalization

Abstract: Clinical, policy, and programmatic implications may be elaborated by studying risk factors for nonadherence in a community mental health setting. Given the multitude of problems associated with nonadherence, interventions should be tailored around specific characteristics that elevate the risk of nonadherence, especially nonadherence in the form of failure to attend the first appointment after psychiatric hospitalization.

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Cited by 25 publications
(21 citation statements)
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“…[11] The rate of attendance found at our integrated clinic is comparable with rates of first clinic appointment attendance post discharge from psychiatric hospitalisation internationally. [13,14] There are no data with which to compare our rate of attendance with early attendance post hospitalisation at HIV treatment centres in order to evaluate the effectiveness of the integrated model in terms of improving outcomes.…”
Section: Discussionmentioning
confidence: 99%
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“…[11] The rate of attendance found at our integrated clinic is comparable with rates of first clinic appointment attendance post discharge from psychiatric hospitalisation internationally. [13,14] There are no data with which to compare our rate of attendance with early attendance post hospitalisation at HIV treatment centres in order to evaluate the effectiveness of the integrated model in terms of improving outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Factors found to be associated with clinic attendance at ART clinics and at mental health clinics have generally been inconsistent but include a variety of sociodemographic and clinical factors. [13][14][15][16] Patients LTFU at the Luthando Clinic in a previous study cited logistical and financial reasons for clinic non-attendance, as well as miscommunication concerning the follow-up appointment date. [12] A larger evidence base regarding the prescription of ART in the mentally ill, subsequent follow-up, adherence to ART regimens and long-term retention in care after inpatient initiation of ART in the mentally ill will hopefully help guide future research and tailor treatment guidelines to better serve this potentially vulnerable population.…”
Section: Articlementioning
confidence: 99%
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“…According to the literature, there is strong evidence that social factors contribute to the duration of the hospital stay and to frequent rehospitalization [35][36][37] as well as the lack of continuity of care after discharge [38] . In turn, non-adherence is related to an involuntary legal status at discharge or rejection of medical advice, not having an established outpatient clinician, social problems within the primary support group and the number of days between hospital discharge and follow-up appointment [38] .…”
Section: Discussionmentioning
confidence: 99%
“…According to the literature, there is strong evidence that social factors contribute to the duration of the hospital stay and to frequent rehospitalization [35][36][37] as well as the lack of continuity of care after discharge [38] . In turn, non-adherence is related to an involuntary legal status at discharge or rejection of medical advice, not having an established outpatient clinician, social problems within the primary support group and the number of days between hospital discharge and follow-up appointment [38] . These results indicate the scope of the tasks which need to be completed by outpatient teams in order to avoid the risk of early rehospitalization: continuity of care by avoiding a gap between discharge and first appointment, relieving social burdens, offering assertive care and supporting and advocating relationships for patients with a lack of insight or denial of their illness.…”
Section: Discussionmentioning
confidence: 99%