Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room

Steven Dobscha, Kevin Delucchi, Myra L. Young

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

This study identifies patient characteristics associated with adherence to outpatient mental health treatment referrals from a VA psychiatric emergency department. Attendance of outpatient appointments was monitored for 12 weeks following emergency department visits (N = 241). Overall attendance of the first appointments was 53%, ranging from 34% of the homeless, to 82% of patients with alcoholism in remission. Characteristics associated with initial adherence included having a place to live and the diagnosis of depression. At twelve weeks, the diagnosis of substance abuse was associated with worse ongoing adherence. The results underscore the need to develop interventions targeting patients at highest risk of poor adherence.

Original languageEnglish (US)
Pages (from-to)451-458
Number of pages8
JournalCommunity Mental Health Journal
Volume35
Issue number5
DOIs
StatePublished - 1999

Fingerprint

Psychiatry
Hospital Emergency Service
Outpatients
Referral and Consultation
Appointments and Schedules
alcoholism
substance abuse
mental health
Alcoholism
Substance-Related Disorders
Mental Health
Depression
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room. / Dobscha, Steven; Delucchi, Kevin; Young, Myra L.

In: Community Mental Health Journal, Vol. 35, No. 5, 1999, p. 451-458.

Research output: Contribution to journalArticle

@article{f91612b0dc9d4645a292f4a803e0efa5,
title = "Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room",
abstract = "This study identifies patient characteristics associated with adherence to outpatient mental health treatment referrals from a VA psychiatric emergency department. Attendance of outpatient appointments was monitored for 12 weeks following emergency department visits (N = 241). Overall attendance of the first appointments was 53{\%}, ranging from 34{\%} of the homeless, to 82{\%} of patients with alcoholism in remission. Characteristics associated with initial adherence included having a place to live and the diagnosis of depression. At twelve weeks, the diagnosis of substance abuse was associated with worse ongoing adherence. The results underscore the need to develop interventions targeting patients at highest risk of poor adherence.",
author = "Steven Dobscha and Kevin Delucchi and Young, {Myra L.}",
year = "1999",
doi = "10.1023/A:1018786512676",
language = "English (US)",
volume = "35",
pages = "451--458",
journal = "Community Mental Health Journal",
issn = "0010-3853",
publisher = "Springer Netherlands",
number = "5",

}

TY - JOUR

T1 - Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room

AU - Dobscha, Steven

AU - Delucchi, Kevin

AU - Young, Myra L.

PY - 1999

Y1 - 1999

N2 - This study identifies patient characteristics associated with adherence to outpatient mental health treatment referrals from a VA psychiatric emergency department. Attendance of outpatient appointments was monitored for 12 weeks following emergency department visits (N = 241). Overall attendance of the first appointments was 53%, ranging from 34% of the homeless, to 82% of patients with alcoholism in remission. Characteristics associated with initial adherence included having a place to live and the diagnosis of depression. At twelve weeks, the diagnosis of substance abuse was associated with worse ongoing adherence. The results underscore the need to develop interventions targeting patients at highest risk of poor adherence.

AB - This study identifies patient characteristics associated with adherence to outpatient mental health treatment referrals from a VA psychiatric emergency department. Attendance of outpatient appointments was monitored for 12 weeks following emergency department visits (N = 241). Overall attendance of the first appointments was 53%, ranging from 34% of the homeless, to 82% of patients with alcoholism in remission. Characteristics associated with initial adherence included having a place to live and the diagnosis of depression. At twelve weeks, the diagnosis of substance abuse was associated with worse ongoing adherence. The results underscore the need to develop interventions targeting patients at highest risk of poor adherence.

UR - http://www.scopus.com/inward/record.url?scp=0032742659&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032742659&partnerID=8YFLogxK

U2 - 10.1023/A:1018786512676

DO - 10.1023/A:1018786512676

M3 - Article

C2 - 10547120

AN - SCOPUS:0032742659

VL - 35

SP - 451

EP - 458

JO - Community Mental Health Journal

JF - Community Mental Health Journal

SN - 0010-3853

IS - 5

ER -