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


Wells, JE and Browne, MO and Aguilar-Gaxiola, S and Al-Hamzawi, A and Alonso, J and Angermeyer, MC and Bouzan, C and Bruffaerts, R and Bunting, B and Caldas-de-Almeida, JM and de Girolamo, G and de Graaf, R and Florescu, S and Fukao, A and Gureje, O and Hinkov, HR and Hu, C and Hwang, I and Karam, EG and Kostyuchenko, S and Kovess-Masfety, V and Levinson, D and Liu, Z and Medina-Mora, ME and Nizamie, SH and Posada-Villa, J and Sampson, NA and Stein, DJ and Viana, MC and Kessler, RC, Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative, British Journal of Psychiatry, 202 pp. 42-49. ISSN 0007-1250 (2013) [Refereed Article]

Copyright Statement

Copyright 2013 The Royal College of Psychiatrists

DOI: doi:10.1192/bjp.bp.112.113134


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.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Browne, MO (Professor Mark Oakley Browne)
ID Code:83017
Year Published:2013
Web of Science® Times Cited:54
Deposited By:Medicine
Deposited On:2013-02-27
Last Modified:2017-11-06

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