Drop out from out-patient mental healthcare in the World Health Organization's World Menta Health Survey initiative

Autor: Ronny Bruffaerts, Hristo Hinkov, Maria Carmen Viana, Jose Posada-Villa, Jordi Alonso, Sergio Aguilar-Gaxiola, Chiyi Hu, Dan J. Stein, Akira Fukao, Ronald C. Kessler, Brendan Bunting, Nancy A. Sampson, Daphna Levinson, Irving Hwang, Mark Anthony Oakley Browne, Silvia Florescu, Ron de Graaf, Ali Al-Hamzawi, Oye Gureje, Colleen Bouzan, S. Haque Nizamie, María Elena Medina-Mora, Zhaorui Liu, Matthias C. Angermeyer, Giovanni de Girolamo, J. Elisabeth Wells, Viviane Kovess-Masfety, Elie G. Karam, José Miguel Caldas-de-Almeida, Stanislav Kostyuchenko
Přispěvatelé: Centro de Estudos de Doenças Crónicas (CEDOC), NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Rok vydání: 2013
Předmět:
Zdroj: British Journal of Psychiatry. 202:42-49
ISSN: 1472-1465
0007-1250
DOI: 10.1192/bjp.bp.112.113134
Popis: Funding information: ... The Portuguese Mental Health Study was carried out by the Department of Mental Health, Faculty of Medical Sciences, NOVA University of Lisbon, with collaboration of the Portuguese Catholic University, and was funded by Champalimaud Foundation, Gulbenkian Foundation, Foundation for Science and Technology (FCT) and Ministry of Health... Background: Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada. Aims: To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys. 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. 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. Conclusions: Drop out needs to be reduced to ensure effective treatment. publishersversion published
Databáze: OpenAIRE