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

Wells, J Elisabeth and Oakley Browne, Mark and Aguilar-Gaxiola, Sergio and Al-Hamzawi, Ali and Alonso, Jordi and Angermeyer, Matthias C and Bouzan, Colleen and Bruffaerts, Ronny and Bunting, Brendan and Caldas-de-Almeida, José Miguel and de Girolamo, Giovanni and de Graaf, Ron and Florescu, Silvia and Fukao, Akira and Gureje, Oye and Hinkov, Hristo Ruskov and Hu, Chiyi and Hwang, Irving and Karam, Elie G and Kostyuchenko, Stanislav and Kovess-Masfety, Viviane and Levinson, Daphna and Liu, Zhaorui and Medina-Mora, Maria Elena and Nizamie, S Haque and Posada-Villa, José and Sampson, Nancy A and Stein, Dan J and Viana, Maria Carmen and Kessler, Ronald C (2013) Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative. The British Journal of Psychiatry , 202 , p. 383.

URL: http://bjp.rcpsych.org/content/early/2012/11/15/bj...

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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