PMID- 20854221
OWN - NLM
STAT- MEDLINE
DCOM- 20110919
LR  - 20220317
IS  - 1502-4725 (Electronic)
IS  - 0803-9488 (Linking)
VI  - 65
IP  - 3
DP  - 2011 Jun
TI  - No-shows, drop-outs and completers in psychotherapeutic treatment: demographic 
      and clinical predictors in a large sample of non-psychotic patients.
PG  - 183-91
LID - 10.3109/08039488.2010.515687 [doi]
AB  - BACKGROUND: A primary challenge in mental health services is a high rate of 
      non-attendance (i.e. no-show and drop-out) for patients referred to treatment for 
      psychiatric disorders. AIM: The aim of the present study was to assess the 
      influence of demographic and clinical variables on mental health treatment 
      attendance and to investigate differences in predictors for no-shows and 
      drop-outs. METHODS: A naturalistic study of 2473 non-psychotic consecutive 
      patients offered psychotherapeutic treatment at a community mental health centre 
      in Denmark. Fifteen demographic and clinical variables were recorded at 
      assessment. Bivariate and multiple logistic regression analyses were conducted to 
      investigate the associations between these variables and no-show and drop-out. 
      RESULTS: Of the 2473 participants, 668 (27.0%) did not show up for treatment, 
      whereas 290 (11.7%) dropped out of treatment. Regression analysis showed that the 
      significant predictors of treatment no-show were: age below 25, no more than the 
      compulsory 9 years of school education, no sick leave, a diagnosis of personality 
      disorder, a Global Assessment of Functioning score (GAF) below 40 or above 70, no 
      previous psychiatric/psychological treatment, no use of antidepressants and 
      substance abuse. The significant predictors of treatment drop-out were: age below 
      45, no more than the compulsory 9 years of school education or up to 11 years of 
      school education, no vocational/university education, unemployment and substance 
      abuse. CONCLUSION: No-show was predicted by both demographic and clinical 
      factors, whereas drop-out was predicted by demographic factors and substance 
      abuse as the only clinical factor. Results and strategies to reduce 
      non-attendance are discussed.
FAU - Fenger, Morten
AU  - Fenger M
AD  - Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of 
      Denmark. Morten.Fenger@.regionh.dk
FAU - Mortensen, Erik Lykke
AU  - Mortensen EL
FAU - Poulsen, Stig
AU  - Poulsen S
FAU - Lau, Marianne
AU  - Lau M
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20100921
PL  - England
TA  - Nord J Psychiatry
JT  - Nordic journal of psychiatry
JID - 100927567
SB  - IM
EIN - Nord J Psychiatry. 2011 Jun;65(3):191
MH  - Adult
MH  - Age Factors
MH  - Cross-Sectional Studies
MH  - Denmark
MH  - Educational Status
MH  - Female
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Mental Disorders/psychology/*therapy
MH  - *Patient Dropouts/psychology/statistics & numerical data
MH  - Psychiatric Status Rating Scales
MH  - *Psychotherapy/statistics & numerical data
MH  - Regression Analysis
MH  - Substance-Related Disorders/psychology/therapy
MH  - Unemployment/psychology/statistics & numerical data
EDAT- 2010/09/22 06:00
MHDA- 2011/09/20 06:00
CRDT- 2010/09/22 06:00
PHST- 2010/09/22 06:00 [entrez]
PHST- 2010/09/22 06:00 [pubmed]
PHST- 2011/09/20 06:00 [medline]
AID - 10.3109/08039488.2010.515687 [doi]
PST - ppublish
SO  - Nord J Psychiatry. 2011 Jun;65(3):183-91. doi: 10.3109/08039488.2010.515687. Epub 
      2010 Sep 21.