PMID: 8465237Feb 1, 1993Paper

Utilization patterns of community mental health services by newly referred patients

Social Psychiatry and Psychiatric Epidemiology
Y LernerL Wittman

Abstract

The present study compared the pattern of service utilization over a 1-year period, of 349 newly referred adult patients to the four community mental health clinics in Jerusalem. Treatment in these clinics is provided free of charge and there are no limits on length of treatment. Irrespective of patient diagnosis and clinic setting, the percentage of patients remaining in contact with the clinics declined sharply during the first 3 months, and after 6 months stabilized to around 25-40%. However, among patients with nonmajor psychiatric disorders, inter-clinic variation in compliance with treatment was observed. In clinics with a long-term psychotherapeutic orientation, a larger proportion of patients was referred to other services following intake, and a larger proportion of patients dropped out of treatment. In these clinics, more patients were placed on waiting lists before beginning treatment, and the drop-out rate among these patients was significantly higher than that of patients in treatment. The implications of these results for treatment policy in public services are discussed.

References

Sep 1, 1975·Psychological Bulletin·F Baekeland, L Lundwall
Jan 1, 1991·Social Psychiatry and Psychiatric Epidemiology·Y LernerM Barasch
Nov 1, 1989·Acta Psychiatrica Scandinavica·M BalestrieriR Micciolo
Jun 1, 1989·The American Journal of Psychiatry·K I HowardK P Brown
Dec 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·N E Coltart
Jun 1, 1986·The British Journal of Medical Psychology·C Trepka
Jun 1, 1983·Acta Psychiatrica Scandinavica·N J Lavik

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Citations

May 30, 2006·European Child & Adolescent Psychiatry·Dimitris C AnagnostopoulosDimitris Ploumpidis
Jul 1, 1995·Acta Psychiatrica Scandinavica·M MorlinoG de Girolamo
Mar 2, 2006·Psychotherapy and Psychosomatics·Helen LazaratouGeorge Zelios
Oct 21, 1999·Image--the Journal of Nursing Scholarship·M A Newman
Jan 5, 2013·Social Psychiatry and Psychiatric Epidemiology·Neil LauferHanan Munitz

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