Abstract:Characteristics of patients who failed to appear for their intake interviews at a community mental health center were contrasted with those who did follow through with their appointments. Findings suggest that characteristics associated with dropping out are likely to vary with patient groups. Show rates for adults who were seeking help for themselves were significantly related to parental status and the length of time from the day of scheduling an intake interview until that appointment. Patient-therapist gen… Show more
“…Interestingly, in the study by Foreman and Hanna, attendance was poorer among those who had been on the waiting list for more than 30 weeks or less than 4 weeks. Yet other studies have found no relationship of wait-time with appointment attendance (Beer 1991;Orme and Boswell 1991).…”
This study examines the clinic variable of wait-time as a predictor of intake attendance in a rural community mental health center (CMHC) serving child and adolescent consumers. Data from 1,317 contacts seeking services for a child or adolescent (ages 2-17) were examined. In logistic regression analysis, wait-time between initial consumer contact and intake appointment was identified as a significant predictor of appointment attendance, even after accounting for consumer variables. The impact of wait-time on the likelihood of intake appointment attendance was not moderated by the urgency of consumer need. Findings elucidate the odds of intake attendance versus non-attendance associated with each day of wait-time and clarify the impact of this clinic variable on pre-intake attrition above and beyond more often studied consumer variables. These results provide information that can assist rural CMHCs in assessing the costs and benefits of steps to reduce wait-time or its impact.
“…Interestingly, in the study by Foreman and Hanna, attendance was poorer among those who had been on the waiting list for more than 30 weeks or less than 4 weeks. Yet other studies have found no relationship of wait-time with appointment attendance (Beer 1991;Orme and Boswell 1991).…”
This study examines the clinic variable of wait-time as a predictor of intake attendance in a rural community mental health center (CMHC) serving child and adolescent consumers. Data from 1,317 contacts seeking services for a child or adolescent (ages 2-17) were examined. In logistic regression analysis, wait-time between initial consumer contact and intake appointment was identified as a significant predictor of appointment attendance, even after accounting for consumer variables. The impact of wait-time on the likelihood of intake appointment attendance was not moderated by the urgency of consumer need. Findings elucidate the odds of intake attendance versus non-attendance associated with each day of wait-time and clarify the impact of this clinic variable on pre-intake attrition above and beyond more often studied consumer variables. These results provide information that can assist rural CMHCs in assessing the costs and benefits of steps to reduce wait-time or its impact.
“…the relationship between waiting time and FTE was non-linear although this varies depending on the type of service. Orme and Boswell (1991) found attendance in a community mental health team was higher for appointments sent within 3 days or after 10 days. Hicks and Hickman (1994) found less than 2 weeks or greater than 12 weeks were associated with FTE in relationship counselling.…”
Section: Failure To Engage In Mental Health Servicesmentioning
The study investigated factors influencing failure to engage among a group of bulimic and binge eating disordered clients referred to a supervised self-help programme. A total of 125 patients referred to a supervised self-help programme for people with bulimia and binge eating disorder were grouped into those who were seen in treatment ( n ¼ 85), and those who failed to engage i.e. did not attend their initial appointment ( n ¼ 40). Diagnosis, age, gender and waiting times of the two groups were compared. Diagnosis, age and gender were not significantly different between the two groups. The only significant factor measured was the length of time that they had waited between being referred to the service and their appointment date. Clients who waited less than 4 weeks were 2.4 times more likely to attend their appointment. For every week that lapsed between referral and appointment date, the odds of attending were reduced by 15% ( p ¼ 0.002). The results are discussed in light of the importance of maximizing engagement in treatment.
“…Las características clínicas de los ausentes en las primeras citas corresponden a pacientes drogodependientes (3)(4)(5)(6) o aquellos que presentan quejas vagas y poco específicas (6,9) y suelen estar menos de acuerdo con la derivación que aquellos que, en contraste, acuden a petición propia y no suelen faltar (1,7). Por último, una mala accesibilidad geográfica del CSM y la lista de espera más larga se correlacionan con un mayor porcentaje de ausencias (1,3,4,6,11,15). Otros estudios han reflejado de forma anecdótica otros posibles factores influyentes como la hora de la cita (4), el profesional que va a atender al paciente (3), el hecho de que vaya a ser un residente (15) o el patrón estacional (4).…”
Section: Ausencias En Las Primeras Consultas De Un Centro De Salud Meunclassified
“…Estas investigaciones se han centrado principalmente en analizar las características personales, tanto clínicas como sociodemográficas, que puedan definir un perfil del paciente que no acude a estas primeras citas (1,(3)(4)(5)(6)(7)(8)(9)(10)(11) y en valorar las estrategias preventivas que se pueden llevar a cabo para paliar este problema (6,(12)(13)(14). Todos estos trabajos difieren en la metodología porque ésta se ha empleado en función de los aspectos particulares que analizan en cada estudio.…”
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