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Compliance with psychiatric emergency room referrals
Archives of General Psychiatry
|August 1, 1977
Summary
Older white and Puerto Rican women with depression showed higher compliance with psychiatric outpatient treatment recommendations. Black patients and those with schizophrenia had lower follow-up rates, highlighting disparities in mental healthcare access.
Area of Science:
- Psychiatry
- Mental Health Services Research
- Health Disparities
Background:
- Assessing factors influencing patient adherence to psychiatric recommendations is crucial for effective mental healthcare.
- Understanding post-emergency room mental health treatment seeking behavior is vital for continuity of care.
Purpose of the Study:
- To identify demographic and diagnostic variables predicting compliance with outpatient mental health treatment referrals.
- To explore reasons for non-compliance among patients referred for follow-up care.
Main Methods:
- Retrospective analysis of patient records.
- Telephone survey of non-compliant patients to determine barriers to care.
Main Results:
- Older Puerto Rican and White women, particularly those with depression, demonstrated higher compliance rates.
- Black patients and individuals diagnosed with schizophrenia exhibited lower rates of outpatient follow-up.
- Reasons for non-compliance varied, suggesting multifaceted barriers to accessing mental healthcare.
Conclusions:
- Patient demographics and psychiatric diagnosis significantly impact adherence to outpatient mental health treatment.
- Targeted interventions may be necessary to improve follow-up rates for underrepresented groups and those with severe mental illness.
- Addressing patient-reported barriers is essential for enhancing mental healthcare continuity.
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