Differential impact of current diagnosis and clinical stage on attendance at a youth mental health service

S P M Cross; Daniel F Hermens; Jan Scott; L Salvador-Carulla; I B Hickie

doi:10.1111/eip.12319

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Differential impact of current diagnosis and clinical stage on attendance at a youth mental health service

Journal article

Peer reviewed

Differential impact of current diagnosis and clinical stage on attendance at a youth mental health service

S P M Cross, Daniel F Hermens, Jan Scott, L Salvador-Carulla and I B Hickie

Early Intervention in Psychiatry, Vol.11(3), pp.255-262

2017

DOI: https://doi.org/10.1111/eip.12319

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Abstract

adherence

appointment

clinical staging

mental health service

youth

Aim: To examine whether clinical stage of illness and current diagnosis influence appointment behaviour in a specialized primary-level youth mental health service. Methods: Factors associated with attendance at 8697 appointments made by 828 young people (females = 497) aged 12-25 years over a 1-year period were analysed. Results: The number of appointments made did not correlate with the rates of attendance. However, those with more severe psychiatric morbidity made significantly more appointments and missed significantly more appointments than those with less severe presentations. Impaired social functioning was the best predictor of female attendance rates, whereas age and clinical stage of illness best predicted male attendance rates. Current diagnosis rather than functional impairment appeared to influence the level of input offered by clinicians. Conclusions: Age, gender, severity of illness, functioning and psychological distress had differential associations with both planned treatment intensity and attendance rates. These differences are likely to have implications for service provision in this youth population. © 2016 John Wiley &Sons Australia, Ltd

Details

Title: Differential impact of current diagnosis and clinical stage on attendance at a youth mental health service
Authors: S P M Cross (Author) - University of Sydney
Daniel F Hermens (Author) - University of Sydney
Jan Scott (Author) - Newcastle University, United Kingdom
L Salvador-Carulla (Author) - University of Sydney
I B Hickie (Author) - University of Sydney
Publication details: Early Intervention in Psychiatry, Vol.11(3), pp.255-262
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2017
DOI: 10.1111/eip.12319
ISSN: 1751-7885
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99451030302621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Psychiatry

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