Cues of disability and treatment continuation of chronic schizophrenics

Dworkin, Rosalind J.; Adams, George L.; Telschow, Ruth L.

doi:10.1016/0277-9536(86)90018-3

Cited by 8 publications

(2 citation statements)

References 41 publications

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“…First, the South Verona service is designed to promote continuity of care, especially for people with severe mental illness (none of the patients with schizophrenia dropped out), which explains why only 27% (70 out of 261) of the total group discontinued contact during the year after the index contact. Second, previous studies have defined the concept of inappropriate termination of treatment less stringently (Baekeland & Lundwall, 1975; Louks et al , 1989; Koch & Gillis, 1991; Mohl et al , 1991), relating dropping out to the number of out-patient visits made or to the length of time in treatment (Atwood & Beck, 1985; Dworkin et al , 1986; Axelrod & Wetzler, 1989; Mohl et al , 1991). In these investigations, a patient was considered to be a drop-out if he or she terminated treatment before an arbitrary cut-off point, whether the clinician agreed with the termination or not.…”

Section: Discussionmentioning

confidence: 99%

Dropping out of care: inappropriate terminations of contact with community-based psychiatric services

et al. 2002

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Section: Discussionmentioning

confidence: 99%

Dropping out of care: inappropriate terminations of contact with community-based psychiatric services

et al. 2002

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“…Dropout rates are high in mental health services; a seminal meta-analysis on outpatient psychotherapy dropout found an average dropout rate of 47% (Wierzbicki & Pekarik, 1993). While variable, dropout rates appear high among outpatients with psychotic disorders, ranging from 17% to 64% (Dworkin, Adams, & Telschow, 1986;Ucok et al, 2007). A recent review of attendance to services for individuals with first-episode psychosis found an average dropout rate across 10 studies of about 30% (Doyle et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Correlates of attendance in mental health services for individuals with psychotic disorders: A critical review

Bonfils

Bouchard

Kukla

et al. 2016

American Journal of Psychiatric Rehabilitation

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Purpose: Low attendance to mental health care results in loss of time, money, and treatment gains. No prior review in this area has taken into account the quality of studies or varying definitions of attendance.The current review provides a critical evaluation of variables associated with attendance in consumers with psychotic symptoms participating in outpatient mental health services, with a focus on study quality and operationalization of attendance. Methods: EMBASE, MEDLINE, PsycINFO, CINAHL, and the Cochrane Library were searched for empirical articles relevant to attendance to mental health services by individuals diagnosed with a psychotic disorder. Eligible articles were rated for quality by two coauthors; high-quality articles were reviewed in-depth. Results: Twenty-eight articles were eligible; eleven articles qualified for in-depth review. Four attendance outcome types were identified, including the prediction of dropout, time engaged, categorical attendance, and continuous attendance. Ongoing substance use during treatment was consistently associated with lower attendance in high-quality articles.Conclusions: More high quality research using systematically defined outcome types is needed to identify reliable associations with attendance. Commonly tested variables such as demographics show little utility in predicting attendance. Future research in this area should expand upon current findings focusing on clinically and theoretically relevant variables.

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Retention of hispanics in public sector mental health services

Dworkin

Adams

1987

Community Ment Health J

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Hispanic underutilization of mental health facilities extends to lowered retention rates among the chronically mentally ill. A theoretical model of retention was developed with four domains of variables: personal traits, accessibility of social support, treatment characteristics, and facility characteristics. Using data collected from CMHC clinical charts in 1983 and 1984, the model was tested using multiple regression and commonality analysis. The model was tenable (R = .59). However, the commonality analysis suggested that most of the unique variance was contributed by the treatment domain. The social support domain made negligible unique contribution. Implications of the model are discussed.

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Cues of disability and treatment continuation of chronic schizophrenics

Cited by 8 publications

References 41 publications

Dropping out of care: inappropriate terminations of contact with community-based psychiatric services

Dropping out of care: inappropriate terminations of contact with community-based psychiatric services

Correlates of attendance in mental health services for individuals with psychotic disorders: A critical review

Retention of hispanics in public sector mental health services

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