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- Title
Treatment dropout at a secondary mental health service.
- Authors
Ribeiro, Mário Sérgio; Caldeira Xavier Júnior, José Cândido; Mascarenhas, Tiago Rodrigues; Silva, Priscila Matthiesen; de Melo Vieira, Eveline Maria; Ribeiro, Luiz Cláudio
- Abstract
Objective: To investigate mental health dropout rates in secondary care and to identify possible associations between this variable and social, demographic, psychopathologic, and health care process-related variables. Method: This prospective, observational study included 994 patients referred to a secondary service by four primary care units and evaluated by a specialist mental health team between 2004 and 2008. The dependent variable was treatment dropout. Bivariate analyses investigated possible associations between treatment dropout and 57 independent variables. Results: The overall dropout rate from specialist mental health treatment was relatively low (mean = 25.6%). Only four independent variables were associated with dropout: one socioeconomic, two psychopathological, and one health care process variable. All associations were marginally significant (p < 0.1). Conclusion: Our findings suggest that family members, patients, and health care professionals are well engaged in this mental health care system based on a model of primary care. The use of this mental health model of care should be extended to other regions of our country.
- Subjects
MENTAL health services; MENTAL illness treatment; PRIMARY care; MENTAL health; SCIENTIFIC observation
- Publication
Trends in Psychiatry & Psychotherapy, 2012, Vol 34, Issue 4, p207
- ISSN
2237-6089
- Publication type
Article
- DOI
10.1590/s2237-60892012000400006