Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative

J. Elisabeth Wells, MarkOakley Browne, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Matthias C. Angermeyer, Colleen Bouzan, Ronny Bruffaerts, Brendan Bunting, José Miguel Caldas-de-Almeida, Giovanni De Girolamo, Ron De Graaf, Silvia Florescu, Akira Fukao, Oye Gureje, HristoRuskov Hinkov, Chiyi Hu, Irving Hwang, Elie G. Karam, Stanislav KostyuchenkoViviane Kovess-Masfety, Daphna Levinson, Zhaorui Liu, MariaElena Medina-Mora, S. Haque Nizamie, José Posada-Villa, Nancy A. Sampson, Dan J. Stein, Maria Carmen Viana, Ronald C. Kessler

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)42-49
Number of pages8
JournalBritish Journal of Psychiatry
Volume202
Issue number1
DOIs
StatePublished - Jan 2013

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Health Surveys
Mental Health
Outpatients
Delivery of Health Care
Canada
Psychiatry
Global Health
Interviews
Surveys and Questionnaires

ASJC Scopus subject areas

  • Psychiatry and Mental health

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Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative. / Wells, J. Elisabeth; Browne, MarkOakley; Aguilar-Gaxiola, Sergio; Al-Hamzawi, Ali; Alonso, Jordi; Angermeyer, Matthias C.; Bouzan, Colleen; Bruffaerts, Ronny; Bunting, Brendan; Caldas-de-Almeida, José Miguel; De Girolamo, Giovanni; De Graaf, Ron; Florescu, Silvia; Fukao, Akira; Gureje, Oye; Hinkov, HristoRuskov; Hu, Chiyi; Hwang, Irving; Karam, Elie G.; Kostyuchenko, Stanislav; Kovess-Masfety, Viviane; Levinson, Daphna; Liu, Zhaorui; Medina-Mora, MariaElena; Nizamie, S. Haque; Posada-Villa, José; Sampson, Nancy A.; Stein, Dan J.; Viana, Maria Carmen; Kessler, Ronald C.

In: British Journal of Psychiatry, Vol. 202, No. 1, 01.2013, p. 42-49.

Research output: Contribution to journalArticle

Wells, JE, Browne, M, Aguilar-Gaxiola, S, Al-Hamzawi, A, Alonso, J, Angermeyer, MC, Bouzan, C, Bruffaerts, R, Bunting, B, Caldas-de-Almeida, JM, De Girolamo, G, De Graaf, R, Florescu, S, Fukao, A, Gureje, O, Hinkov, H, Hu, C, Hwang, I, Karam, EG, Kostyuchenko, S, Kovess-Masfety, V, Levinson, D, Liu, Z, Medina-Mora, M, Nizamie, SH, Posada-Villa, J, Sampson, NA, Stein, DJ, Viana, MC & Kessler, RC 2013, 'Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative', British Journal of Psychiatry, vol. 202, no. 1, pp. 42-49. https://doi.org/10.1192/bjp.bp.112.113134
Wells, J. Elisabeth ; Browne, MarkOakley ; Aguilar-Gaxiola, Sergio ; Al-Hamzawi, Ali ; Alonso, Jordi ; Angermeyer, Matthias C. ; Bouzan, Colleen ; Bruffaerts, Ronny ; Bunting, Brendan ; Caldas-de-Almeida, José Miguel ; De Girolamo, Giovanni ; De Graaf, Ron ; Florescu, Silvia ; Fukao, Akira ; Gureje, Oye ; Hinkov, HristoRuskov ; Hu, Chiyi ; Hwang, Irving ; Karam, Elie G. ; Kostyuchenko, Stanislav ; Kovess-Masfety, Viviane ; Levinson, Daphna ; Liu, Zhaorui ; Medina-Mora, MariaElena ; Nizamie, S. Haque ; Posada-Villa, José ; Sampson, Nancy A. ; Stein, Dan J. ; Viana, Maria Carmen ; Kessler, Ronald C. / Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative. In: British Journal of Psychiatry. 2013 ; Vol. 202, No. 1. pp. 42-49.
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abstract = "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.",
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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, MarkOakley

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, HristoRuskov

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, MariaElena

AU - Nizamie, S. Haque

AU - Posada-Villa, José

AU - Sampson, Nancy A.

AU - Stein, Dan J.

AU - Viana, Maria Carmen

AU - Kessler, Ronald C.

PY - 2013/1

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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.

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