Abstract
Appointment adherence is a significant concern for community mental health centers. In this investigation adherence, cancellations and non-adherence in a rural county was assessed. Overall, 69.3% of the scheduled appointments were kept, 13.7% canceled, and 17% failed. There were no significant differences found between individuals and couples, females and males, or initial and ongoing contacts. Results are encouraging since they are similar to rates reported for other settings and populations. The present findings highlight the importance of the client-therapist relationship and suggest the need for brief therapy in rural communities.
References
Bloom, B.L. (1983). Planned short-term therapy.In Community Mental Health: A General Introduction (pp. 57–102). Monteray, CA: Brooks/Cole.
Bloom, B.L. (1981). Focused single-session therapy: Initial development and evaluation. In S.E. Budman (Ed.),Forms of brief therapy (pp. 167–214) New York: Guilford Press.
Dubinsky, M. (1986). Predictors of appointment non-compliance in community mental health patients.Community Mental Health Journal, 22, 142–146.
Genest, M. & Genest, S., (1987). Adherence.Psychology and health. (pp. 31–50), Champaign: Research Press.
Mooney, D.K., & Johnson, R.D. (1990).Rural mental health appointment adherence: A 30-month evaluation. Paper presented at the meeting of the Eastern Psychological Association, Philadelphia, PA.
Sackett, D.L., & Haynes, R.B. (1976).Compliance with therapeutic regimes. Baltimore: Johns Hopkins University Press.
Silverman, W.H., & Beech, R.P. (1979). Are dropouts, dropouts?Journal of Community Psychology, 7, 236–242.
Swenson, T.R., & Pekarik, G. (1988). Interventions for reducing missed initial appointments at a community mental health center.Community Mental Health Journal, 24, 205–218.
Talley, S.L. & King, M.C. (1984). Adherence.Psychiatric emergencies: Nursing assessment and intervention. (pp. 161–182) New York: Macmillan.
Turner, A.J., & Vernon, J.C. (1976). Prompts to increase attendance in a community mental health center.Journal of Applied Behavioral Analysis, 9, 141–145.
Weighill, V.E., Hodge, J.T., & Peck, D.F. (1983). Keeping appointments with clinical psychologists.British Journal of Clinical Psychology, 22, 143–144.
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Mooney, D.K., Johnson, R.D. Rural mental health appointment adherence: Implications for therapy. Community Ment Health J 28, 135–139 (1992). https://doi.org/10.1007/BF00754280
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DOI: https://doi.org/10.1007/BF00754280