Missed psychiatric appointmentswho returns and who stays away

Landy Sparr, Mary C. Moffitt, Mark F. Ward

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

Objective: This study investigated reasons for missed psychiatric appointments, rescheduling of appointments, adverse outcomes, and the association of specific diagnoses and treatments with missed appointments. Method: A prospective survey covering all individual outpatient visits to seven mental health clinic psychiatrists was conducted during a 3-month period in 1991. Of the 1,620 scheduled visits, 142 (8.8%) were missed, representing 130 separate patients. For each missed appointment, the psychiatrist involved completed a questionnaire on the type of visit, the patient's DSM-III-R diagnosis, the reason for missing the appointment, the date of patient recontact, and adverse outcome, if any. Results: Of the 142 missed appointments, 71.1% were rescheduled spontaneously by the patients; of these, most (73.3%) were rescheduled within 2 weeks. The remaining missed appointments represented various outcomes, including dropping out of treatment. The most common stated reason for missing an appointment was patient error, such as forgetting, oversleeping, or getting the date wrong. Patients with PTSD and/or substance abuse were significantly more likely than others to miss appointments, and those with major depression were somewhat less likely to do so. Conclusions: Most patients quickly reschedule missed appointments, and those in more intensive treatments miss fewer appointments. Missed appointments for initial evaluation are not rescheduled most often. Patients in ongoing treatment who do not return may have histories of noncompliance with treatment. The high rate of rescheduling suggests that follow-up of patients who miss appointments should be a clinical decision rather than a routine policy.

Original languageEnglish (US)
Pages (from-to)801-805
Number of pages5
JournalAmerican Journal of Psychiatry
Volume150
Issue number5
StatePublished - 1993
Externally publishedYes

Fingerprint

Psychiatry
Appointments and Schedules
Duty to Recontact
Therapeutics
Post-Traumatic Stress Disorders
Diagnostic and Statistical Manual of Mental Disorders
Substance-Related Disorders
Mental Health
Outpatients
Depression

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Missed psychiatric appointmentswho returns and who stays away. / Sparr, Landy; Moffitt, Mary C.; Ward, Mark F.

In: American Journal of Psychiatry, Vol. 150, No. 5, 1993, p. 801-805.

Research output: Contribution to journalArticle

Sparr, L, Moffitt, MC & Ward, MF 1993, 'Missed psychiatric appointmentswho returns and who stays away', American Journal of Psychiatry, vol. 150, no. 5, pp. 801-805.
Sparr, Landy ; Moffitt, Mary C. ; Ward, Mark F. / Missed psychiatric appointmentswho returns and who stays away. In: American Journal of Psychiatry. 1993 ; Vol. 150, No. 5. pp. 801-805.
@article{15ab14ca8f6d45eca57cdb2d912cc9ed,
title = "Missed psychiatric appointmentswho returns and who stays away",
abstract = "Objective: This study investigated reasons for missed psychiatric appointments, rescheduling of appointments, adverse outcomes, and the association of specific diagnoses and treatments with missed appointments. Method: A prospective survey covering all individual outpatient visits to seven mental health clinic psychiatrists was conducted during a 3-month period in 1991. Of the 1,620 scheduled visits, 142 (8.8{\%}) were missed, representing 130 separate patients. For each missed appointment, the psychiatrist involved completed a questionnaire on the type of visit, the patient's DSM-III-R diagnosis, the reason for missing the appointment, the date of patient recontact, and adverse outcome, if any. Results: Of the 142 missed appointments, 71.1{\%} were rescheduled spontaneously by the patients; of these, most (73.3{\%}) were rescheduled within 2 weeks. The remaining missed appointments represented various outcomes, including dropping out of treatment. The most common stated reason for missing an appointment was patient error, such as forgetting, oversleeping, or getting the date wrong. Patients with PTSD and/or substance abuse were significantly more likely than others to miss appointments, and those with major depression were somewhat less likely to do so. Conclusions: Most patients quickly reschedule missed appointments, and those in more intensive treatments miss fewer appointments. Missed appointments for initial evaluation are not rescheduled most often. Patients in ongoing treatment who do not return may have histories of noncompliance with treatment. The high rate of rescheduling suggests that follow-up of patients who miss appointments should be a clinical decision rather than a routine policy.",
author = "Landy Sparr and Moffitt, {Mary C.} and Ward, {Mark F.}",
year = "1993",
language = "English (US)",
volume = "150",
pages = "801--805",
journal = "American Journal of Psychiatry",
issn = "0002-953X",
publisher = "American Psychiatric Association",
number = "5",

}

TY - JOUR

T1 - Missed psychiatric appointmentswho returns and who stays away

AU - Sparr, Landy

AU - Moffitt, Mary C.

AU - Ward, Mark F.

PY - 1993

Y1 - 1993

N2 - Objective: This study investigated reasons for missed psychiatric appointments, rescheduling of appointments, adverse outcomes, and the association of specific diagnoses and treatments with missed appointments. Method: A prospective survey covering all individual outpatient visits to seven mental health clinic psychiatrists was conducted during a 3-month period in 1991. Of the 1,620 scheduled visits, 142 (8.8%) were missed, representing 130 separate patients. For each missed appointment, the psychiatrist involved completed a questionnaire on the type of visit, the patient's DSM-III-R diagnosis, the reason for missing the appointment, the date of patient recontact, and adverse outcome, if any. Results: Of the 142 missed appointments, 71.1% were rescheduled spontaneously by the patients; of these, most (73.3%) were rescheduled within 2 weeks. The remaining missed appointments represented various outcomes, including dropping out of treatment. The most common stated reason for missing an appointment was patient error, such as forgetting, oversleeping, or getting the date wrong. Patients with PTSD and/or substance abuse were significantly more likely than others to miss appointments, and those with major depression were somewhat less likely to do so. Conclusions: Most patients quickly reschedule missed appointments, and those in more intensive treatments miss fewer appointments. Missed appointments for initial evaluation are not rescheduled most often. Patients in ongoing treatment who do not return may have histories of noncompliance with treatment. The high rate of rescheduling suggests that follow-up of patients who miss appointments should be a clinical decision rather than a routine policy.

AB - Objective: This study investigated reasons for missed psychiatric appointments, rescheduling of appointments, adverse outcomes, and the association of specific diagnoses and treatments with missed appointments. Method: A prospective survey covering all individual outpatient visits to seven mental health clinic psychiatrists was conducted during a 3-month period in 1991. Of the 1,620 scheduled visits, 142 (8.8%) were missed, representing 130 separate patients. For each missed appointment, the psychiatrist involved completed a questionnaire on the type of visit, the patient's DSM-III-R diagnosis, the reason for missing the appointment, the date of patient recontact, and adverse outcome, if any. Results: Of the 142 missed appointments, 71.1% were rescheduled spontaneously by the patients; of these, most (73.3%) were rescheduled within 2 weeks. The remaining missed appointments represented various outcomes, including dropping out of treatment. The most common stated reason for missing an appointment was patient error, such as forgetting, oversleeping, or getting the date wrong. Patients with PTSD and/or substance abuse were significantly more likely than others to miss appointments, and those with major depression were somewhat less likely to do so. Conclusions: Most patients quickly reschedule missed appointments, and those in more intensive treatments miss fewer appointments. Missed appointments for initial evaluation are not rescheduled most often. Patients in ongoing treatment who do not return may have histories of noncompliance with treatment. The high rate of rescheduling suggests that follow-up of patients who miss appointments should be a clinical decision rather than a routine policy.

UR - http://www.scopus.com/inward/record.url?scp=0027215230&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027215230&partnerID=8YFLogxK

M3 - Article

C2 - 8480828

AN - SCOPUS:0027215230

VL - 150

SP - 801

EP - 805

JO - American Journal of Psychiatry

JF - American Journal of Psychiatry

SN - 0002-953X

IS - 5

ER -