| Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative. | |
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MedLine Citation:
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PMID: 23174514 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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J Elisabeth Wells; Mark Oakley Browne; Sergio Aguilar-Gaxiola; Ali Al-Hamzawi; Jordi Alonso; Matthias C Angermeyer; Colleen Bouzan; Ronny Bruffaerts; Brendan Bunting; José Miguel Caldas-de-Almeida; Giovanni de Girolamo; Ron de Graaf; Silvia Florescu; Akira Fukao; Oye Gureje; Hristo Ruskov Hinkov; Chiyi Hu; Irving Hwang; Elie G Karam; Stanislav Kostyuchenko; Viviane Kovess-Masfety; Daphna Levinson; Zhaorui Liu; Maria Elena Medina-Mora; S Haque Nizamie; José Posada-Villa; Nancy A Sampson; Dan J Stein; Maria Carmen Viana; Ronald C Kessler |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-22 |
Journal Detail:
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Title: The British journal of psychiatry : the journal of mental science Volume: - ISSN: 1472-1465 ISO Abbreviation: Br J Psychiatry Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-11-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0342367 Medline TA: Br J Psychiatry Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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PhD, Department of Public Health and General Practice, University of Otago, Christchurch, New Zealand; Mark Oakley Browne, FRANZCP, PhD, Discipline of Psychiatry, School of Medicine, The University of Tasmania, Hobart, Tasmania, Australia; Sergio Aguilar-Gaxiola, MD, PhD, University of California, Davis, Center for Reducing Health Disparities, School of Medicine, Sacramento, California, USA; Ali Al-Hamzawi, MBChB, MD, FICMS, Al-Qadisia University College of Medicine, Diwania, Iraq; Jordi Alonso, MD, PhD, Health Services Research Unit, Institut Municipal d'Investigació Mèdica (IMIM-Hospital del Mar), Barcelona, Spain, and CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain; Matthias C. Angermeyer, MD, Center for Public Mental Health, Gösing am Wagram, Austria; Colleen Bouzan, MS, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA; Ronny Bruffaerts, PhD, Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Leuven, Belgium; Brendan Bunting, PhD, Psychology Research Institute, University of Ulster, Londonderry, Northern Ireland, UK; José Miguel Caldas-de-Almeida, MD, PhD, Chronic Diseases Research Center (CEDOC) and Department of Mental Health, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal; Giovanni de Girolamo, MD, IRCCS Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy; Ron de Graaf, PhD, MSc, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands; Silvia Florescu, MD, PhD, National School of Public Health Management and Professional Development, Bucharest, Romania; Akira Fukao, MD, Department of Public Health, Yamagata University Graduate School of Medical Science, Yamagata, Japan; Oye Gureje, MD, PhD, DSc, FRCPsych, WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences, and Drug & Alcohol Abuse, Department of Psychiatry, University of Ibadan, University College Hospital, Ibadan, Nigeria; Hristo Ruskov Hinkov, MD, PhD, National Center for Public Health and Analyses, Sofia, Bulgaria; Chiyi Hu, MD, PhD, Shenzhen Institute of Mental Health and Shenzhen Kangning Hospital, Shenzhen, People's Republic of China; Irving Hwang, MA, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA; Elie G. Karam, MD, St George Hospital University Medical Center, Balamand University, Institute for Development, Research, Advocacy & Applied Care (IDRAAC), Medical Institute for Neuropsychological Disorders (MIND), Beirut, Lebanon; Stanislav Kostyuchenko, MD, Ukrainian Psychiatric Association, Kiev, Ukraine; Viviane Kovess-Masfety, MD, PhD, EA 4069 Université Paris Descartes and EHESP School for Public Health Department of Epidemiology, Paris, France; Daphna Levinson, PhD, Research & Planning, Mental Health Services Ministry of Health, Jerusalem, Israel; Zhaorui Liu, MD, MPH, Institute of Mental Health, Peking University, Beijing, People's Republic of China; Maria Elena Medina-Mora, PhD, National Institute of Psychiatry, Delegacion Tlalpan, Mexico City, Mexico; S. Haque Nizamie, MD, DPM, Central Institute of Psychiatry, Jharkhand, India; José Posada-Villa, MD, Pontificia Universidad Javeriana, Instituto Colombiano del Sistema Nervioso, Bogotá DC, Colombia; Nancy A. Sampson, BA, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA; Dan J. Stein, MD, PhD, University of Cape Town, Department of Psychiatry and Mental Health, J-Block, Groote Schuur Hospital, Cape Town, South Africa; Maria Carmen Viana, MD, PhD, Department of Social Medicine, Federal University of Espírito Santo (UFES), Vitória, Brazil; Ronald C. Kessler, PhD, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA. |
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