CoChat
Sign Up
Cited by 284Mental Health Treatment and AccessPsychiatric care and mental health servicesMental Health and Patient Involvement

The DOI matches its Crossref record; 134 of the 134 references it cites were found in a registry or an index.

Disengagement from mental health services: A literature review

O’Brien, Aileen, Fahmy, Rana, Singh, Swaran P.·2009·Social Psychiatry and Psychiatric Epidemiology
DOI 10.1007/s00127-008-0476-0
Open this paper in CoChat — free account

Abstract

This paper reviews the literature on disengagement from mental health services examining how the terms engagement and disengagement are defined, what proportion of patients disengage from services, and what sociodemographic variables predict disengagement. Both engagement and disengagement appear to be poorly conceptualised, with a lack of consensus on accepted and agreed definitions. Rates of disengagement from mental health services vary from 4 to 46%, depending on the study setting, service type and definition of engagement used. Sociodemographic and clinical predictors of disengagement also vary, with only a few consistent findings, suggesting that such associations are complex and multifaceted. Most commonly reported associations of disengagement appear to be with sociodemographic variables including young age, ethnicity and deprivation; clinical variables such as lack of insight, substance misuse and forensic history; and service level variables such as availability of assertive outreach provision. Given the importance of continuity of care in serious mental disorders, there is a need for a consensual, validated and reliable measure of engagement which can be used to explore associations between patient, illness and service related variables and can inform service provision for difficult to reach patients.

Overview

Integrity signals

Registry

Crossref · 10.1007/s00127-008-0476-0

Cites

134 of 134 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

1 retracted

Show all 133 references

Research works printed but not linked: 2

  1. Marshall M, Lockwood A (2000) Assertive community treatment for people with severe mental disorders. Cochrane Database Syst Rev (Issue 2). DOI: 10.1002/4651852 CD001089 · DOI
  2. SCMH (1998) Keys to engagement: review of people with severe mental illness who are hard to engage with services. In: Sainsbury’s Centre for Mental Health, London

Cited by

Sorted by citations

Items 201–284 of 284

Related

See all

Metadata

Authors
O’Brien, A., Fahmy, R., & Singh, S. P.
Affiliations
  • St George's, University of London (GB)
  • University of Warwick (GB)
Corresponding author
O’Brien, Aileen
ORCID
Venue
Social Psychiatry and Psychiatric Epidemiology
Publisher
Springer Science and Business Media LLC
Published
2008-11-26
Volume
44
Issue
7
Pages
558-568
ISSN
  • 0933-7954 (ISSN-L)
  • 1433-9285
DOI
10.1007/s00127-008-0476-0
OpenAlex
W2082092421
Cited by
283
References
133
Citations by year
2026: 5 · 2025: 18 · 2024: 9 · 2023: 18 · 2022: 16 · 2021: 18 · 2020: 19 · 2019: 23 · 2018: 20 · 2017: 21 · 2016: 14 · 2015: 22 · 2014: 20 · 2013: 26 · 2012: 17
FWCI
7.58
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords
patient engagement, engagement measurement, sociodemographic factors, lack of insight, substance abuse, forensic history, assertive outreach, continuity of care, severe mental illness, service availability
MeSH terms
Attitude to Health, Mental Disorders, Community Mental Health Services, Continuity of Patient Care, United Kingdom, Health Services Accessibility, Health Services Needs and Demand, Humans, Mental Health Services, Patient Acceptance of Health Care, Patient Dropouts, Research Design, Diagnosis, Dual (Psychiatry)

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review