Waiting time and no‐show rate in a community mental health center

Folkins, Carlyle H.; Hersch, P.; Dahlen, Dennis

doi:10.1007/bf00892287

Cited by 33 publications

(21 citation statements)

References 4 publications

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“…Research across disciplines has consistently shown that length of time between intake and first appointment is predictive of non-engagement, the longer the wait the greater likelihood of non-engagement (Festinger, et al, 1995;Folkins, Hersch, & Dahlen, 1980;Stasiewicz & Stalker, 1999). Results are mixed regarding the effectiveness of reminder telephone calls or appointment cards as a means of increasing first session attendance (Hochstadt & Trybula, 1980;Stasiewicz & Stalker, 1999).…”

Section: Clinic Factorsmentioning

confidence: 95%

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

et al. 2006

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A great deal of clinical research has sought to describe and suggest remedies for the client dropout phenomenon. However, few studies have addressed the equally pervasive, yet often ignored, non-engagement problem. An exploratory study was conducted to understand why many clients fail to engage in family therapy services after they have completed the initial intake. The results of the study suggest that therapist gender and experience level, clinic policies regarding videotaping sessions, family concerns, and changes in the presenting problem prior to the first session, had an impact on potential clients' decision to engage in therapy. Implications and future research are discussed.

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Section: Clinic Factorsmentioning

confidence: 95%

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

et al. 2006

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“…Many Canadians consider timely access to care as their essential right and a basic pillar of universal health care. 1 Long wait times have been viewed as a threat undermining public confidence in medicare, 2 and have been shown to increase dissatisfaction with care, [3][4][5] as well as morbidity and mortality. 6 Nevertheless, obtaining accurate wait-list data in multicentre research studies is complicated owing to variation in the definitions of wait times and in health record processes.…”

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confidence: 99%

Wait Time Impact of Co-Located Primary Care Mental Health Services: The Effect of Adding Collaborative Care in Northern Ontario

et al. 2012

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Objectives: In the shared care model, psychiatrists and physicians work in the same office areas, write their notes in the same casebooks, and can more rapidly exchange information about referrals and health conditions of their patients. We evaluated the impact of the introduction of a shared mental health care service, co-located with a primary care site, on wait times for mental health services in a northern Ontario city. Method: Chart reviews were conducted to examine a total of 3589 referrals for 5 mental health outpatient services (1 shared care and 4 existing services) from January 2001 to the end of June 2004. The shared mental health care service site was started in July 2001. Wait time was measured 6 months prior to and up to 3 years after the introduction of the shared care service. Results: The shared care site offered services more than 40 days sooner and also helped to reduce wait time on the nonshared care sites. After shared care began, the pre-existing, nonshared care services had wait times of about 13 days shorter during the 3 subsequent years. Conclusions: The shared care service maintained the lowest overall wait times, compared with the existing nonshared care services. The existing services experienced a decrease in the number of days waiting when the baseline wait time was compared with that of the following year. W W W Objectifs : Dans le modèle des soins partagés, psychiatres et médecins travaillent dans les mêmes bureaux, rédigent leurs notes dans les mêmes recueils, et peuvent échanger plus rapidement l'information sur l'aiguillage et l'état de santé de leurs patients. Nous avons évalué l'effet de l'introduction d'un service de soins de santé mentale partagés, installé au même endroit que des soins de première ligne, sur les temps d'attente des services de santé mentale dans une ville du nord de l'Ontario. Méthode : Une étude des dossiers a été menée pour examiner un total de 3589 consultations pour 5 services externes de santé mentale (1 de soins partagés et 4 services existants) de janvier 2001 à la fin de juin 2004. Le service de soins de santé mentale partagés a ouvert ses portes en juillet 2001. Les temps d'attente ont été mesurés 6 mois avant et jusqu'à 3 ans après l'ouverture du service de soins partagés. Résultats : Le site des soins partagés offrait des services plus de 40 jours plus tôt et contribuait également à réduire les temps d'attente des sites de soins non partagés. Après le début des soins partagés, les services de soins non partagés préexistants ont eu des temps d'attente de quelque 13 jours plus courts durant les 3 années subséquentes. Conclusions : Le service des soins partagés a maintenu les temps d'attente les plus faibles en général, comparativement aux services de soins non partagés existants. Les services existants ont connu une diminution du nombre de jours d'attente, lorsque les temps d'attente de départ ont été comparés avec ceux de l'année suivante.

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“…Studies have shown that nonattendance is correlated with longer waiting lists (Booth and Bennett 2004;Carpenter et al 1981) while reducing or eliminating the wait can significantly decrease no-show rates (Folkins et al 1980;Sherman et al 2008). For example, Williams et al (2008) studied the change in no-show rates of adults with severe and persistent mental illness at a large, urban outpatient community mental health center.…”

Section: Literature Reviewmentioning

confidence: 96%

When Absence Speaks Louder than Words: An Object Relational Perspective on No-Show Appointments

Kwintner

2011

Clin Soc Work J

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The rates of no-show appointments in community mental health are reported to be as high as 50%. Yet there is a striking scarcity of clinical literature on this subject compared with the abundance of articles written from an administrative point of view. This paper describes a variety of countertransference responses to missed appointments. Drawing from object relations theory, the author maps out different pathways to guide thinking about the use of countertransference, listening to clinical material following a no-show appointment, and responding to organizational pressures. The paper aims to help practitioners make greater sense of the patient's inner world and of what is going on in the transference-countertransference matrix.

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Waiting time and no‐show rate in a community mental health center

Cited by 33 publications

References 4 publications

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

Wait Time Impact of Co-Located Primary Care Mental Health Services: The Effect of Adding Collaborative Care in Northern Ontario

When Absence Speaks Louder than Words: An Object Relational Perspective on No-Show Appointments

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