Predictors and Moderators of Aftercare Appointment-Keeping Following Brief Motivational Interviewing Among Patients With Psychiatric Disorders or Dual Diagnosis

Objective: Non-adherence to psychiatric and substance abuse treatment recommendations, especially with regard to aftercare outpatient appointment-keeping following hospitalizations, exacts a high cost on mental health spending and prevents patients from receiving therapeutic doses of treatment. Our...

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Bibliographic Details
Published in:Journal of dual diagnosis 2014-01, Vol.10 (1), p.44-51
Main Authors: Pantalon, Michael V., Murphy, Mary K., Barry, Declan T., Lavery, Meaghan, Swanson, Arthur J.
Format: Article
Language:English
Subjects:
adherence-enhancement intervention
Adult
After Care
Diagnosis, Dual (Psychiatry)
Female
gender differences
Hospitalization
Humans
Interview, Psychological
Interviews
Male
Medical diagnosis
Mental disorders
Mental Disorders - psychology
Mental Disorders - therapy
Mental health care
Mental Illness
Mental Patients
Motivation
motivational interviewing
Patient Compliance
Patients
Sex
Substance abuse treatment
treatment adherence
Treatment Compliance
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Summary:Objective: Non-adherence to psychiatric and substance abuse treatment recommendations, especially with regard to aftercare outpatient appointment-keeping following hospitalizations, exacts a high cost on mental health spending and prevents patients from receiving therapeutic doses of treatment. Our primary objective was to evaluate the relationship between potential predictors and moderators of aftercare appointment-keeping among a group of adult patients immediately following hospitalization for severe psychiatric disorders or dual diagnosis. Methods: Candidate predictors and moderator variables included demographics, psychiatric status, psychiatric symptom severity, and inpatient group adherence, while aftercare appointment-keeping was defined as attendance at the first aftercare appointment. Participants were 121 adult inpatients with a psychiatric disorder or dual diagnosis originally enrolled in an earlier randomized controlled trial comparing standard treatment with standard treatment plus brief motivational interviewing for increasing adherence. Results: Results indicated that, across treatment conditions, those who were female, did not have dual diagnosis, were older (older than 33 years), and were less educated (
ISSN:1550-4263
1550-4271
DOI:10.1080/15504263.2013.867785