TY - JOUR
T1 - Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative
AU - Wells, J Elisabeth
AU - Browne, Mark Oakley
AU - Aguilar-Gaxiola, Sergio
AU - Al-Hamzawi, Ali
AU - Alonso, Jordi
AU - Angermeyer, Matthias C
AU - Bouzan, Colleen
AU - Bruffaerts, Ronny
AU - Bunting, Brendan
AU - Caldas-de-Almeida, José Miguel
AU - De Girolamo, Giovanni
AU - De Graaf, Ron
AU - Florescu, Silvia
AU - Fukao, Akira
AU - Gureje, Oye
AU - Hinkov, Hristo Ruskov
AU - Hu, Chiyi
AU - Hwang, Irving
AU - Karam, Elie G.
AU - Kostyuchenko, Stanislav
AU - Kovess-Masfety, Viviane
AU - Levinson, Daphna
AU - Liu, Zhaorui
AU - Medina-Mora, Maria Elena
AU - Nizamie, S. Haque
AU - Posada-Villa, José A.
AU - Sampson, Nancy A.
AU - Stein, Dan J
AU - Viana, Maria Carmen
AU - Kessler, Ronald C
PY - 2013/1
Y1 - 2013/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84872160010&partnerID=8YFLogxK
U2 - 10.1192/bjp.bp.112.113134
DO - 10.1192/bjp.bp.112.113134
M3 - Article
C2 - 23174514
AN - SCOPUS:84872160010
SN - 0007-1250
VL - 202
SP - 42
EP - 49
JO - The British Journal of Psychiatry
JF - The British Journal of Psychiatry
IS - 1
ER -
