Document Detail

Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative.
MedLine Citation:
PMID:  23174514     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-11-22
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  202     ISSN:  1472-1465     ISO Abbreviation:  Br J Psychiatry     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-03     Completed Date:  2013-06-11     Revised Date:  2013-06-17    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  42-9     Citation Subset:  IM    
Department of Public Health and General Practice, University of Otago, Christchurch, New Zealand.
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MeSH Terms
Ambulatory Care / statistics & numerical data,  utilization*
Health Services Needs and Demand
Health Surveys
Interview, Psychological
Mental Disorders / epidemiology*,  therapy
Mental Health Services / statistics & numerical data,  utilization*
Middle Aged
Patient Acceptance of Health Care / statistics & numerical data*
Patient Dropouts / statistics & numerical data*
Survival Analysis
World Health / statistics & numerical data
World Health Organization
Young Adult
Grant Support
R01 DA016558/DA/NIDA NIH HHS; R01-MH059575/MH/NIMH NIH HHS; R01-MH069864/MH/NIMH NIH HHS; R01-MH61905/MH/NIMH NIH HHS; R03 TW006481-01/TW/FIC NIH HHS; R13-MH066849/MH/NIMH NIH HHS; U01-MH60220/MH/NIMH NIH HHS
Comment In:
Br J Psychiatry. 2013 May;202(5):383   [PMID:  23637112 ]
Br J Psychiatry. 2013 May;202(5):383-4

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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