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

journal contribution
posted on 2023-05-17, 16:15 authored by Wells, JE, Browne, MO, Aguilar-Gaxiola, S, Al-Hamzawi, A, Alonso, J, Angermeyer, MC, Bouzan, C, Bruffaerts, R, Bunting, B, Caldas-de-Almeida, JM, de Girolamo, G, de Graaf, R, Florescu, S, Fukao, A, Gureje, O, Hinkov, HR, Hu, C, Hwang, I, Karam, EG, Kostyuchenko, S, Kovess-Masfety, V, Levinson, D, Liu, Z, Medina-Mora, ME, Nizamie, SH, Posada-Villa, J, Sampson, NA, Stein, DJ, Viana, MC, Kessler, RC

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.

History

Publication title

British Journal of Psychiatry

Volume

202

Pagination

42-49

ISSN

0007-1250

Department/School

Tasmanian School of Medicine

Publisher

Royal College Of Psychiatrists

Place of publication

British Journal Of Psychiatry 17 Belgrave Square, London, England, Sw1X 8Pg

Rights statement

Copyright 2013 The Royal College of Psychiatrists

Repository Status

  • Restricted

Socio-economic Objectives

Mental health

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