Factors associated with noncompliance with psychiatric outpatient visits

Harvard University, Cambridge, Massachusetts, United States
Psychiatric Services (Impact Factor: 1.99). 04/2001; 52(3):378-80. DOI: 10.1176/
Source: PubMed

ABSTRACT Adherence to recommended services is essential for long-term effectiveness of ambulatory treatment programs, but factors associated with such adherence are not securely established. We evaluated attendance at 896 scheduled psychiatric clinic visits for 62 patients at a major psychiatric teaching hospital. Visit adherence was found to be significantly higher among patients in an acute stage of illness, those with a personality disorder, those with a post-high-school education, and those living alone. Adherence was also higher when visits were routinely scheduled, when the intervisit interval was shorter, and when the visit entailed psychotherapy rather than pharmacotherapy.

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