Resumen
Non-attendance of mental health service appointments is an international problem. In the UK, for example, the estimated cost of non-attendance in child mental health services is over £45 million (US dollar 60.94 million) per annum. The objective of this study was to examine whether there were service- and practitioner-level variation in non-consensual dropout in child mental health services. This was an analysis of routinely collected data. Service-level variation (as services covered different geographic areas) and practitioner-level variation were examined in N = 3622 children (mean age 12.70 years; SD 3.62, 57% female, 50% white or white British) seen by 896 practitioners across 39 services. Overall, 35% of the variation in non-consensual dropout was explained at the service level and 15% at the practitioner level. Children were almost four times more likely to drop out depending on which service they attended (median odds ratio = 3.92) and were two-and-a-half times more likely to drop out depending on which practitioner they saw (median odds ratio = 2.53). These levels of variation were not explained by levels of deprivation in areas covered by services or by children’s demographic and case characteristics. The findings of the present research may suggest that, beyond service-level variation, there is also practitioner-level variation in non-consensual dropout in child mental health services.
| Idioma original | Inglés |
|---|---|
| Páginas (desde-hasta) | 929-934 |
| Número de páginas | 6 |
| Publicación | European Child and Adolescent Psychiatry |
| Volumen | 29 |
| N.º | 7 |
| DOI | |
| Estado | Publicada - 2020 |
| Publicado de forma externa | Sí |
Nota bibliográfica
Funding Information:The Policy Research Unit in the Health of Children, Young People and Families is funded by the Department of Health Policy Research Programme. This is an independent report commissioned and funded by the Department of Health. The views expressed are not necessarily those of the Department. The authors would like to thank members of CPRU: Terence Stephenson, Catherine Law, Amanda Edwards, Ruth Gilbert, Steve Morris, Helen Roberts, Cathy Street, and Russell Viner. The authors would also like to thank all members of CORC, its committee at the time of writing including: Ashley Wyatt, Mick Atkinson, Kate Martin, Ann York, Duncan Law, Julie Elliot, Isobel Fleming – and the CORC team at the time of writing (including J.E-C., VZ & A.W.): Benjamin Richie, Kate Dalzell, Jenna Jacob, Elisa Napoleone, Carin Eisenstein, Meera Patel, Alison Ford, Sally Marriott, Lee Atkins, Danielle Antha, Rebecca Neale. The research was supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Bart’s Health NHS Trust. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors would like to thank Miranda Wolpert and Jessica Deighton for helpful comments on an earlier draft.
Funding Information:
The Policy Research Unit in the Health of Children, Young People and Families is funded by the Department of Health Policy Research Programme. This is an independent report commissioned and funded by the Department of Health. The views expressed are not necessarily those of the Department. The authors would like to thank members of CPRU: Terence Stephenson, Catherine Law, Amanda Edwards, Ruth Gilbert, Steve Morris, Helen Roberts, Cathy Street, and Russell Viner. The authors would also like to thank all members of CORC, its committee at the time of writing including: Ashley Wyatt, Mick Atkinson, Kate Martin, Ann York, Duncan Law, Julie Elliot, Isobel Fleming ? and the CORC team at the time of writing (including J.E-C., VZ & A.W.): Benjamin Richie, Kate Dalzell, Jenna Jacob, Elisa Napoleone, Carin Eisenstein, Meera Patel, Alison Ford, Sally Marriott, Lee Atkins, Danielle Antha, Rebecca Neale. The research was supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Bart?s Health NHS Trust. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors would like to thank Miranda Wolpert and Jessica Deighton for helpful comments on an earlier draft.
Publisher Copyright:
© 2019, The Author(s).
Áreas temáticas de ASJC Scopus
- Pediatría, perinaltología y salud infantil
- Psicología educativa y evolutiva
- Psiquiatría y salud mental
ODS de las Naciones Unidas
Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible
