Disorder-specific symptoms and psychosocial well-being in relation to no-show rates in forensic ADHD patients
Stoel,Tessa Houtepen,J.A.B.M. van der Lem,R. Bogaerts,S. Sijtsema,J.J.
Stoel,Tessa
Houtepen,J.A.B.M.
van der Lem,R.
Bogaerts,S.
Sijtsema,J.J.
Abstract
No-show rates in forensic psychiatry are related to higher recidivism risk and financial costs in mental health care, yet little is known about risk factors for high no-show rates. In this study, the extent to which disorder specific symptoms and psychosocial well-being are related to no-show rates in forensic patients with ADHD was examined. Sixty male patients with ADHD (M age = 35.9, SD = 8.6) who received treatment in a Dutch forensic outpatient center completed the Adult Self-Report on disorder-specific symptoms and general psychosocial well-being. Data on no-show rates and background characteristics were obtained via electronic patient files. Independent sample t-tests showed a trend in which patients with high no-show rates (15–45% missed appointments) had more ADHD symptoms compared to patients with low no-show rates (0–14.9% missed appointments). Furthermore, multivariate regression analyses showed that rule-breaking, externalizing problems and somatic problems were associated with higher no-show rates, whereas anxiety problems were associated with lower no-show rates. Results suggest that no-show rates in forensic patients with ADHD are related to specific psychopathological symptoms. This knowledge can be used to prevent no-show in forensic psychiatric treatment.
Description
Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
Organizational Units
Journal Issue
Keywords
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, COMORBIDITY SURVEY REPLICATION, DEFICIT HYPERACTIVITY DISORDER, GENERAL-PRACTICE, MENTAL-HEALTH-CENTER, MISSED APPOINTMENTS, NON-ATTENDANCE, No-show, PREVALENCE, PRISON-INMATES, PSYCHIATRIC COMORBIDITY, adult ADHD, disorder-specific symptoms, forensic psychiatry, psychosocial well-being
Citation
Stoel, T, Houtepen, J A B M, van der Lem, R, Bogaerts, S & Sijtsema, J J 2018, 'Disorder-specific symptoms and psychosocial well-being in relation to no-show rates in forensic ADHD patients', International Journal of Forensic Mental Health, vol. 17, no. 1, pp. 61-71. https://doi.org/10.1080/14999013.2017.1407846