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Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative.
- Source :
-
The British journal of psychiatry : the journal of mental science [Br J Psychiatry] 2013 Jan; Vol. 202 (1), pp. 42-9. Date of Electronic Publication: 2012 Nov 22. - Publication Year :
- 2013
-
Abstract
- Background: Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada.<br />Aims: To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys.<br />Method: Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n = 8482) were asked about drop out, defined as stopping treatment before the provider wanted.<br />Results: Overall, drop out was 31.7%: 26.3% in high-income countries, 45.1% in upper-middle-income countries, and 37.6% in low/lower-middle-income countries. Drop out from psychiatrists was 21.3% overall and similar across country income groups (high 20.3%, upper-middle 23.6%, low/lower-middle 23.8%) but the pattern of drop out across other sectors differed by country income group. Drop out was more likely early in treatment, particularly after the second visit.<br />Conclusions: Drop out needs to be reduced to ensure effective treatment.
- Subjects :
- Adolescent
Adult
Aged
Comorbidity
Demography
Global Health statistics & numerical data
Health Services Needs and Demand
Health Surveys
Humans
Income
Interview, Psychological
Mental Disorders therapy
Middle Aged
Survival Analysis
World Health Organization
Young Adult
Ambulatory Care statistics & numerical data
Mental Disorders epidemiology
Mental Health Services statistics & numerical data
Patient Acceptance of Health Care statistics & numerical data
Patient Dropouts statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1472-1465
- Volume :
- 202
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The British journal of psychiatry : the journal of mental science
- Publication Type :
- Academic Journal
- Accession number :
- 23174514
- Full Text :
- https://doi.org/10.1192/bjp.bp.112.113134