Prevalence, factors and reasons associated with missed first appointments among out-patients with schizophrenia at the Federal Neuro-Psychiatric Hospital, Benin City

Thomas, Felicia Ibironke; Olotu, Sunday Osasu; Omoaregba, Joyce Ohiole

doi:10.1192/bjo.2017.11

Cited by 9 publications

(12 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that 22.9% of patients did not attend the consultation appointment. This was consistent with the attendance rate found in a study of missed first appointments among youth and adults with schizophrenia . This finding, along with evidence that approximately one-third of patients with early psychosis disengage from services prematurely, suggests that patients face engagement challenges throughout their service trajectories.…”

Section: Discussionsupporting

confidence: 86%

Care Pathways and Initial Engagement in Early Psychosis Intervention Services Among Youths and Young Adults

Polillo,

Foussias,

Wang

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceBroad efforts to improve access to early psychosis intervention (EPI) services may not address health disparities in pathways to care and initial engagement in treatment.ObjectiveTo understand factors associated with referral from acute hospital-based settings and initial engagement in EPI services.Design, Setting, and ParticipantsThis retrospective cohort study used electronic medical record data from all patients aged 16 to 29 years who were referred to a large EPI program between January 2018 and December 2019. Statistical analysis was performed from March 2022 to February 2023.ExposuresPatients self-reported demographic information in a structured questionnaire. The main outcome for the first research question (referral source) was an exposure for the second research question (initial attendance).Main Outcomes and MeasuresRate of EPI referral from acute pathways compared with other referral sources, and rate of attendance at the consultation appointment.ResultsThe final study population included 999 unique patient referrals. At referral, patients were a mean (SD) age of 22.5 (3.5) years; 654 (65.5%) identified as male, 323 (32.3%) female, and 22 (2.2%) transgender, 2-spirit, nonbinary, do not know, or prefer not to answer; 199 (19.9%) identified as Asian, 176 (17.6%) Black, 384 (38.4%) White, and 167 (16.7%) other racial or ethnic groups, do not know, or prefer not to answer. Participants more likely to be referred to EPI services from inpatient units included those who were older (relative risk ratio [RRR], 1.10; 95% CI, 1.05-1.15) and those who identified as Black (RRR, 2.11; 95% CI, 1.38-3.22) or belonging to other minoritized racial or ethnic groups (RRR, 1.79; 95% CI, 1.14-2.79) compared with White participants. Older patients (RRR, 1.16; 95% CI, 1.11-1.22) and those who identified as Black (RRR, 1.67; 95% CI, 1.04-2.70) or belonging to other minoritized racial or ethnic groups (RRR, 2.11; 95% CI, 1.33-3.36) were more likely to be referred from the emergency department (ED) compared with White participants, whereas participants who identified as female (RRR, 0.51 95% CI, 0.34-.74) had a lower risk of ED referral compared with male participants. Being older (odds ratio [OR], 0.95; 95% CI, 0.90-1.00) and referred from the ED (OR, 0.40; 95% CI, 0.27-0.58) were associated with decreased odds of attendance at the consultation appointment.Conclusions and relevanceIn this cohort study of patients referred to EPI services, disparities existed in referral pathways and initial engagement in services. Improving entry into EPI services may help facilitate a key step on the path to recovery among youths and young adults with psychosis.

show abstract

Section: Discussionsupporting

confidence: 86%

Care Pathways and Initial Engagement in Early Psychosis Intervention Services Among Youths and Young Adults

Polillo,

Foussias,

Wang

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

show abstract

“…Given the rarity of this pathology, research regarding the relationship between schizophrenia and DFSP has not been conducted, however, a large meta-analysis found that patients with psychotic disorders had a higher incidence of testicular cancer (relative risk 1.27) and 22% higher odds of metastasis at diagnosis compared to those without psychotic disorders [ 15 ]. Additionally, patients with schizophrenia had high rates of appointment non-adherence, with the prevalence of a missed first appointment after hospitalization being over 30% [ 16 - 17 ]. This patient is now three months from surgery and unfortunately has not presented to follow-up appointments despite multiple attempts to reach the patient and family members.…”

Section: Discussionmentioning

confidence: 99%

Scrotal Dermatofibrosarcoma Protuberans in a Patient with Schizophrenia: A Case Report and Review of the Literature

Ashton,

Yankelevich,

Perry

et al. 2024

Cureus

View full text Add to dashboard Cite

Dermatofibrosarcoma protuberans (DFSP) is a rare spindle cell soft tissue sarcoma of the dermis and subcutaneous tissue. We present the fourth case of scrotal DFSP in the literature, identified in a 32-year-old male with schizophrenia. Wide surgical excision and radical orchiectomy were performed revealing an uninvolved testicle and DFSP of the scrotum. A unique challenge to this case was concurrent aortic dissection and schizophrenia. Social determinants of health are associated with delay in presentation and poor appointment compliance in patients with schizophrenia. Ultimately, DFSP of the scrotum is an extremely rare condition with this presentation being only the fourth report in the literature. It is important to document these unique cases to establish differential diagnoses and optimize management.

show abstract

“…However, poor initial adherence remains a global challenge for psychiatric practices [ 3 , 21 ]. Ibironke et al reported a prevalence of 30% of missed first appointments 2–3 weeks after the first outpatient visit in patients with schizophrenia [ 8 ]. According to National Comorbidity Survey Replication data, the mental health treatment dropout rate from the general medication sector at 12 months was 31.6%, and over 70% of all dropouts occurred after the first or second visit [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Initial adherence by psychiatric outpatients in a general hospital and relevant personal factors

Chen

Zhou

et al. 2022

BMC Psychiatry

View full text Add to dashboard Cite

Background Initial adherence is a predictor of long-term adherence and thus is a crucial metric to explore and support. This study aimed to investigate initial adherence by psychiatric outpatients and relevant personal factors. Methods The study surveyed psychiatric outpatients using a 30-day timely return visit rate (TRVR) after the first visit to indicate initial adherence. All participants agreed to engage in the self-designed survey and assessments of the Eysenck Personality Questionnaire (EPQ) and Symptoms Checklist-90 (SCL-90). Clients who missed timely return visits received telephone follow-up to determine the main reasons. Results The overall TRVR was 59.4, and 40.6% of clients missed return visits. Logistic regression analysis revealed risk factors for initial adherence were work, tense family atmosphere, negative attitudes towards medication, higher EPQ psychoticism score, and lower SCL-90 phobic anxiety score. The main reasons given for non-timely return visits were improvement suggesting lack of need for a return visit, various barriers, no improvement, and side effects. Conclusion Psychiatric outpatients had poor initial adherence related to multiple dimensional factors, including job, family, personality characteristics, mental status, and thoughts about mental illness and treatments.

show abstract

Prevalence, factors and reasons associated with missed first appointments among out-patients with schizophrenia at the Federal Neuro-Psychiatric Hospital, Benin City

Cited by 9 publications

References 32 publications

Care Pathways and Initial Engagement in Early Psychosis Intervention Services Among Youths and Young Adults

Care Pathways and Initial Engagement in Early Psychosis Intervention Services Among Youths and Young Adults

Scrotal Dermatofibrosarcoma Protuberans in a Patient with Schizophrenia: A Case Report and Review of the Literature

Initial adherence by psychiatric outpatients in a general hospital and relevant personal factors

Contact Info

Product

Resources

About