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Increasing initial attendance at mental health out-patient clinics: opt-in systems and other interventions

Published online by Cambridge University Press:  02 January 2018

David S. J. Hawker
David S. J. Hawker*
Affiliation:
North Oxfordshire Child and Family Clinic, Orchard Health Centre, Cope Road, Banbury, Oxfordshire OX16 2EZ, email: [email protected]
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Out-patient appointments which are missed without prior notice are a major contributor to wasted resources in planned mental healthcare services. It is not unusual that a quarter to a third of patients referred to a service will miss their first appointment (Hoare et al, 1996). Non-attendance rates for second and subsequent appointments are lower. Early non-attendance predicts attrition later in treatment (Goode, 1997; Aubrey et al, 2003), leading to further wasted resources, with most first-time non-attenders never attending subsequent appointments.

Type
Special article
Information
Psychiatric Bulletin , Volume 31 , Issue 5 , May 2007 , pp. 179 - 182
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 2007

References

Adams, J., Underwood, D. J. & Stirzaker, A. (1989) A novel referral system for child clinical psychology services. Clinical Psychology Forum, 21, 7–11.Google Scholar
Anderson, K. & White, J. (1996) Evaluation of an opt-in system in primary care psychology. Clinical Psychology Forum, 93, 28–30.Google Scholar
Aubrey, R., Self, R. & Halstead, J. E. (2003) Early nonattendance and subsequent attrition from psychological help. Clinical Psychology, 32, 6–10.Google Scholar
Balfour, A. (1986) An innovation to encourage more “dropping in” to GP initiated referrals (and less “dropping out!”). Clinical Psychology Forum, 5, 14–17.Google Scholar
Berrigan, L. P. & Garfield, S. L. (1981) Relationship of missed psychotherapy appointments to premature termination and social class. British Journal of Clinical Psychology, 20, 239–242.CrossRefGoogle ScholarPubMed
British Psychological Society (1995) Report on DCP survey of waiting lists in NHS clinical psychology services: 1992. Clinical Psychology Forum, 53, 39–42.Google Scholar
Conaghan, S., Traynor, E., Davidson, K. et al (2000) The efficacy of opt-in systems: evidence to the contrary. Clinical Psychology Forum, 138, 36–38.CrossRefGoogle Scholar
Cottrell, D., Hill, P., Walk, D., et al (1988) Factors influencing non-attendance at child psychiatry outpatient appointments. British Journal of Psychiatry, 152, 201–204.CrossRefGoogle Scholar
Department of Health (2004) Choose and Book: Patient's Choice of Hospital and Booked Appointment – Policy Framework. Department of Health.Google Scholar
Foreman, D. M. & Hanna, M. (2000) How long can a waiting list be? The impact of waiting time on intention to attend child and adolescent psychiatric clinics. Psychiatric Bulletin, 24, 211–213.CrossRefGoogle Scholar
Fox, T. & Skinner, A. (1997) Giving clients information about non-attendance: does this reduce the number who “fail to attend”? Clinical Psychology Forum, 110, 220–233.Google Scholar
Goldbeck, R. (1993) Can a card mailing system help to reduce the waiting lists at an alcohol problems clinic? Psychiatric Bulletin, 17, 597–598.CrossRefGoogle Scholar
Goode, L. (1997) Null contacts by clients referred by general practitioners and hospital consultants. Clinical Psychology Forum, 99, 32–35.Google Scholar
Hoare, P., Norton, B., Chisholm, D., et al (1996) An audit of 7000 successive child and adolescent psychiatry referrals in Scotland. Clinical Child Psychology and Psychiatry, 1, 229–249.Google Scholar
Keen, A., Blakey, R. & Peaker, A. (1996) The effects on non-attendance and early discontinuation of enclosing an information leaflet to prospective clients for clinical psychology. Clinical Psychology Forum, 96, 33–35.Google Scholar
Kourany, R. F. C., Garber, J. & Tornusciolo, G. (1990) Improving first appointment attendance rates in child psychiatry outpatient clinics. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 657–660.CrossRefGoogle ScholarPubMed
Munjal, A., Latimer, M. & McCune, N. (1994) Attendance at child psychiatry new patient clinics. Irish Journal of Psychological Medicine, 11, 182–184.CrossRefGoogle Scholar
Munro, J. & Blakey, R. (1986) A study of nonattendance in first appointments with clinical psychologists. Clinical Psychology Forum, 17, 10–14.Google Scholar
Rusius, C.W. (1995) Improving outpatient attendance using postal appointment reminders. Psychiatric Bulletin, 19, 291–292.Google Scholar
Spector, K. (1988) Increasing take-up rate of clinical psychology services. Clinical Psychology Forum, 15, 11–13.CrossRefGoogle Scholar
Srivasta, K. M. & Allen, D. (1999) Reducing the time you and your patients wait. Psychiatric Bulletin, 23, 156–159.Google Scholar
Stallard, P., & Sayers, J. (1998) An opt-in appointment system and brief therapy: perspectives on a waiting list initiative. Clinical Child Psychology and Psychiatry, 3, 199–212.CrossRefGoogle Scholar
Stern, G. & Brown, R. (1994) The effect of a waiting list on attendance at initial appointments in a child and family clinic. Child: Care, Health and Development, 20, 219–230.Google Scholar
Waring, P. A., Rose, M. J. & Murphy, P. (1999) RSVP: the effects of “opting-in” on attendance rates at a back pain rehabilitation programme. Clinical Psychology Forum, 127, 6–8.Google Scholar
Wenning, K. & King, S. (1995) Parent orientation meetings to improve attendance and access at a child psychiatric clinic. Psychiatric Services, 46, 831–833.Google Scholar
Wiseman, M. & McBride, M. (1998) Increasing attendance rate for first appointments at child and family psychiatry clinics: an opt-in system. Child Psychology band Psychiatry Review, 3, 68–71.Google Scholar
Yeandle, J. (1999) Outcomes from an opt-in waiting list initiative in a community psychology service for children and families. Clinical Psychology Forum, 130, 18–21.Google Scholar
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