Care package for anxiety disorders: no-show and dropout of standardised, time restricted treatment

Hanne Tranberg, Erik Lykke Mortensen, Marianne Engelbrecht Lau

Abstract

Background: Psychotherapy has shown to be efficacious but therapy effectiveness in mental health services is compromised by patients who fail to
show up for assessment, treatment start and stay in treatment. Predictors for patient non-attendance (no-show and dropout) have been identified as
patient or therapist characteristics. Organisational variables are sparsely studied although waiting time may affect no-show and dropout. In order
to reduce waiting time the Mental Health Services in Denmark have introduced care packages in the treatment of non-psychotic disorders. Care
packages are courses of treatment characterised by standardisation, time restriction and pre-coordination. Currently, the impact of care packages on
patient non-attendance remains unknown.
Objectives: The aim was to study the influence of care packages treatment organisation on non-attendance for treatment for anxiety disorders and if
demographic and clinical variables were predictors for no-show and dropout.
Methods: The study was a quasi-experimental pre-post study in a naturalistic setting in the Mental Health Services, Capital Region of Denmark.
Two samples of patients, aged above 18 years and referred for treatment for anxiety disorders (F40-41) at Stolpegaard Psychotherapy Centre, were
included. The treatment as usual sample were patients referred before implementing care packages treatment (1 August 2007 to 31 July 2009) and
the post care packages patients were referred from December 1 2012 until April 1 2014. Sociodemographic and anamnestic data and data on symptom
severity and attrition were collected using an internet-based registration and questionnaire system.
Results: Data collection was closed by January 2015. Design and results will be presented.
OriginalsprogEngelsk
Publikationsdato23 sep. 2015
StatusUdgivet - 23 sep. 2015
BegivenhedNordic Congress of Psychiatry 2015 - Copenhagen, Danmark
Varighed: 20 sep. 201523 sep. 2015

Konference

KonferenceNordic Congress of Psychiatry 2015
Land/OmrådeDanmark
ByCopenhagen
Periode20/09/201523/09/2015

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