TY - JOUR
T1 - Dropping out of mental health treatment among patients with depression and anxiety by type of provider
T2 - Results of the European Study of the Epidemiology of Mental Disorders
AU - Pinto-Meza, Alejandra
AU - Fernández, Anna
AU - Bruffaerts, Ronny
AU - Alonso, Jordi
AU - Kovess, Viviane
AU - De Graaf, Ron
AU - De Girolamo, Giovanni
AU - Matschinger, Herbert
AU - Haro, Josep M.
PY - 2011/4
Y1 - 2011/4
N2 - Purpose: Dropping out from mental health treatment is a major problem because mental health treatments delivered for inadequate durations are ineffective. The aim of this study was to compare treatment dropout rates by type of provider, dropout risk by number of visit, and to ascertain factors associated with treatment dropout. Methods: A cross-sectional household survey of a representative sample of 626 out of 21,425 non-institutionalized adults from the general population of six European countries was carried out. Dropout was defined as terminating treatment before recommendation. Results: Dropout from all treating providers during a12-month period was 14%. Among psychiatrists, psychologists, and general practitioners figures were: 19., 20.3, and 20.3%, respectively. While the hazard risk for dropping out was higher during the first three visits to GPs and psychologists, it was stable for psychiatrists. Older age, female gender, and living in large or midsize urban areas were associated with a decreased risk of dropping out. Conclusions: Efforts for increasing patients' proportion completing adequate courses of care for mental disorders in Europe should focus on the first visits, especially those made to the general medical care.
AB - Purpose: Dropping out from mental health treatment is a major problem because mental health treatments delivered for inadequate durations are ineffective. The aim of this study was to compare treatment dropout rates by type of provider, dropout risk by number of visit, and to ascertain factors associated with treatment dropout. Methods: A cross-sectional household survey of a representative sample of 626 out of 21,425 non-institutionalized adults from the general population of six European countries was carried out. Dropout was defined as terminating treatment before recommendation. Results: Dropout from all treating providers during a12-month period was 14%. Among psychiatrists, psychologists, and general practitioners figures were: 19., 20.3, and 20.3%, respectively. While the hazard risk for dropping out was higher during the first three visits to GPs and psychologists, it was stable for psychiatrists. Older age, female gender, and living in large or midsize urban areas were associated with a decreased risk of dropping out. Conclusions: Efforts for increasing patients' proportion completing adequate courses of care for mental disorders in Europe should focus on the first visits, especially those made to the general medical care.
KW - Dropout
KW - Epidemiology
KW - General practitioners
KW - Mental disorders
KW - Psychiatrists
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U2 - 10.1007/s00127-010-0195-1
DO - 10.1007/s00127-010-0195-1
M3 - Article
C2 - 20186531
AN - SCOPUS:79956053717
VL - 46
SP - 273
EP - 280
JO - Social Psychiatry
JF - Social Psychiatry
SN - 0037-7813
IS - 4
ER -