Non-attendance at psychological therapy appointments

Journal article


Binnie, J and Boden, Z (2016). Non-attendance at psychological therapy appointments. Mental Health Review Journal. 21 (3), pp. 231-248. https://doi.org/10.1108/MHRJ-12-2015-0038
AuthorsBinnie, J and Boden, Z
Abstract

Purpose: Research demonstrates that non-attendance at healthcare appointments is a waste of scarce resources; leading to reduced productivity, increased costs, disadvantaged patients through increased waiting times, and demoralised staff. This study investigated non-attendance and implemented interventions to improve practice. Methodology: A mixed methods service audit took place in a primary care psychological therapies service. Existing service guidelines and reporting systems were reviewed. A cross-sectional design was used to compare a year’s cohort of completers of cognitive behavioural therapy (N=140) and drop-outs (N=61). Findings: Findings suggested contrasting guidelines and clinically inaccurate reporting systems. The overall service DNA (Did Not Attend) rate was 8.9%; well below rates suggested in the literature. The drop-out rate from cognitive behavioural therapy (CBT) was 17%. The most influential factor associated with CBT drop-out was the level of depression. The level of anxiety, risk ratings and deprivation scores were also different between completers and drop-outs. The main reasons given for non-attendance were forgetting, being too unwell to attend, having other priorities, or dissatisfaction with the service; again these findings were consistent with prior research. Conclusions: A range of recommendations for practice are made, many of which were implemented with an associated reduction in the DNA rate.

Year2016
JournalMental Health Review Journal
Journal citation21 (3), pp. 231-248
PublisherEmerald
ISSN2042-8758
Digital Object Identifier (DOI)https://doi.org/10.1108/MHRJ-12-2015-0038
Publication dates
Print12 Sep 2016
Publication process dates
Deposited20 Dec 2016
Accepted30 Jun 2016
Accepted author manuscript
License
File Access Level
Open
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