Hostname: page-component-848d4c4894-r5zm4 Total loading time: 0 Render date: 2024-06-27T23:50:08.089Z Has data issue: false hasContentIssue false

Factors Influencing Non-attendance at Child Psychiatry Out-patient Appointments

Published online by Cambridge University Press:  02 January 2018

David Cottrell*
Affiliation:
St George's Hospital Medical School, currently Senior Lecturer in Child and Adolescent Psychiatry, London Hospital Medical College
Peter Hill
Affiliation:
St George's Hospital Medical School
David Walk
Affiliation:
St George's Hospital, Tooting
Jo Dearnaley
Affiliation:
St George's Hospital, Tooting
Andreas Ierotheou
Affiliation:
St George's Hospital, Tooting
*
London Hospital Medical College, Turner Street, London E1 2AD

Abstract

The clinic attendance of 100 consecutive referrals to child psychiatry is described. Only 47 cases ended in agreed discharge. Different factors were found to be associated with attrition at different stages in the treatment-uptake process. Of referrals offered an appointment, 16% failed to attend at all; this was significantly associated with parents being against referral. Of cases offered a subsequent appointment, 40% dropped out. Continued attendance was associated with a presenting problem of general anxiety and with consultation to the referrer. Dropping out was associated with parents who were separated.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baekeland, F. & Lundwall, L. (1975) Dropping out of treatment: a critical review. Psychological Bulletin, 82, 738783.CrossRefGoogle ScholarPubMed
Cooper, N. A. & Lynch, M. A. (1979) Lost to follow up. A study of non-attendance at a general paediatric outpatient clinic. Archives of Diseases in Childhood, 55, 765769.CrossRefGoogle Scholar
Gould, M. S., Shaffer, D. & Kaplan, D. (1985) The characteristics of dropouts from a child psychiatry clinic. Journal of The American Academy of Child Psychiatry, 24, 316328.CrossRefGoogle ScholarPubMed
Mearns, C. & Kay, B. (1985) Referred but not seen. Newsletter of the Association for Child Psychology and Psychiatry, 7, 1618.Google Scholar
Novick, J., Benson, R. & Rembar, J. (1981) Patterns of termination in an outpatient clinic for children and adolescents. Journal of the American Academy of Child Psychiatry, 20, 834844.CrossRefGoogle Scholar
Plunkett, J. W. (1984) Parents treatment expectations and attrition from a child psychiatric service. Journal of Clinical Psychology, 40, 372377.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.