Why do psychiatrists have difficulty disengaging with the out-patient clinic?

Killaspy, Helen

doi:10.1192/apt.bp.107.003590

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…Also, the fact that the soldiers were required to come to WTC appointments accelerated treatment compared to the non-military psychiatric services where attendance is not mandatory resulting in many more missed appointments. 15,16 All these benefits should have positive immediate and long-term effects on the soldiers, their families and society. Moreover, the high percentage of soldiers entering the VA shortly after discharge supports the ideal seamless transition from US Army to the VA health-care system.…”

Section: Discussionmentioning

confidence: 99%

A telepsychiatry transition clinic: the first 12 months experience

et al. 2011

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To improve the management of soldiers with combat-related mental health problems, an interdisciplinary telepsychiatry service was established between a clinic at the Fort Bragg army base and the Veterans Affairs (VA) Medical Center in Salem. In the first 12 months of operation, 120 soldiers (105 males) were seen in a total of 394 telepsychiatry sessions. The time spent on telepsychiatry by the six VA psychiatrists increased from 13 hours in the first month to 41 hours in the twelfth month. The number of telepsychiatry sessions increased from nine in the first month to 56 in the twelfth month. The mean global assessment of function score (GAF) in the soldiers increased significantly (P < 0.001) from 58.0 at intake to 62.3 at the last visit. Soldiers received VA telepsychiatry on average 22 days after the initial consultation with a primary care provider, a reduction of at least eight days compared to the previous delay. The majority of soldiers (89%) who were treated by VA psychiatrists enrolled in the VA within about six months of discharge. Similar VA-US Military collaborations may prove beneficial for other military bases that have returning combat soldiers.

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Section: Discussionmentioning

confidence: 99%

A telepsychiatry transition clinic: the first 12 months experience

et al. 2011

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“…[ 1 ] On an average a quarter to half of people, who miss an outpatient appointment completely disengage from the mental health services. [ 2 ] In the largest study of full disengagement, 31% of community psychiatric patients were lost to follow-up over the course of 1 year. [ 3 ] Over the course of 2 years, the documented attrition rates for unscheduled dropout have been reported to be as high as 50%.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with dropout from treatment

Grover

Mallnaik

Chakrabarti

et al. 2021

Indian Journal of Psychiatry

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Aim: To evaluate the factors associated with treatment dropout among patients attending the psychiatric outpatient services. Materials and Methods: Seventy-two patients who dropped out from treatment were contacted and they were compared with 200 regular attendees for sociodemographic and clinical variables, medication adherence, treatment satisfaction, attitude toward medication, insight, and therapeutic alliance. Results: Compared to “regular attendees,” those who dropped out from treatment were significantly older, were more likely to be married, had higher age of onset, had longer duration of illness, received less supervision for medication at home, higher proportion of them continued to remain symptomatic, had more negative attitude toward medications, had poorer insight, were poorly complaint with medication, were less satisfied with the treatment provided, and had poor quality of therapeutic alliance. Conclusion: This study suggests that dropout from treatment can be avoided by addressing issues of negative attitude toward medications, improving satisfaction with the treatment contact and enhancing therapeutic alliance.

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