Factors associated with better compliance with psychiatric aftercare

The rate of compliance with aftercare following hospitalization is disturbingly low despite its proven efficacy in preventing relapse and rehospitalization. This study of 134 emergency admissions to a New York City municipal hospital examined the impact of patient characteristics, clinical variables, and attitudes toward treatment on compliance with aftercare in the six months following discharge. Excluding 31 patients who required rehospitalization, 70 percent of patients attended their first aftercare appointment, and 40 percent completed six months of aftercare. Factors associated with better compliance with aftercare were continuity of care, as reflected in less time between discharge and the first aftercare appointment; increased number of prior hospitalizations; increased length of hospital stay; less denial of need for treatment; and greater perceived need for medications. Recommendations for improving compliance with after care are presented.