A profile of the noncompliant patient: A thirty-month review of outpatient psychiatry referrals

The role of personality disorder in ‘difficult to reach’ patients with depression: Findings from the ODIN study

“…Such a finding would be consistent with that of Centorrino et al [5] who studied 896 scheduled outpatient clinic visits at a major psychiatric teaching hospital and found that personality disorder was associated with greater compliance with outpatient visits. Our results contrast, however, with those of certain other groups, including Matas et al [12] who examined 874 referrals to the outpatient psychiatry department of a large teaching hospital and found that noncompliant patients were significantly more likely to be diagnosed with personality disorder or substance abuse.…”

Treatment dropout at a secondary mental health service

“…Among the factors regularly evidenced as being associated with higher dropout rates in mental health treatment at both primary and secondary health care levels, the following stand out: type of service provider and/or characteristics of health care [2][3][4][5][6] ; professional responsible for referring the patient 7,8 ; time waiting for specialist treatment and difficulties scheduling appointments 9,10 ; patients' beliefs and expectations. 2,3,9 Notwithstanding, when the influence of sociodemographic and economic factors, 2,3,5,7,8,11,12 clinical factors 3,5,7,9,[11][12][13] -especially those related with diagnosis and condition severity -, and different treatment modalities …”

“…2,3,9 Notwithstanding, when the influence of sociodemographic and economic factors, 2,3,5,7,8,11,12 clinical factors 3,5,7,9,[11][12][13] -especially those related with diagnosis and condition severity -, and different treatment modalities …”

After discharge from hospital, where do we go? Follow-up of clients with mental illness and/or addiction: 30 days post-acute care.

“…Individuals with little to no health insurance have the lowest rate of compliance for discharge follow-up services, whereas people who have psychiatric outpatient care prior to their hospital admission had higher proportions of follow-up (El-Mallakh et al, 2004). Daley and Zuckoff (1998) report that low levels of compliance are particularly noteworthy when following up with treatment for co-morbid conditions of mental illness and substance use (Booth, Cook, & Blow, 1992;Carey & Carey, 1990;Matas, Staley, & Griffin, 1992). For some patients, reduced treatment compliance leads to loss of social support networks, including family and friends, and mental illness relapse with a possible hospital re-admission (Daley & Zuckoff, 1998).…”

“…After reviewing a number of studies, Daley and Zuckoff (1998) recommend the following interventions to support initial treatment compliance: telephone or mail reminders, increasing the frequency and intensity of services offered in the early phase of outpatient care, dual diagnoses programs, and provisions for positive reinforcements for participation in treatment activities (Agosti, Nunes, Stewart, & Quitkin, 1991;Hochstadt & Trybulak, 1980;Kadden & Mauriello, 1991;Matas et al, 1992;Meichenbaum & Turk, 1987;Stark, Campbell & Brinkerhoff, 1990).…”