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    Why do psychiatric patients attend or not attend treatment groups in the community: A qualitative study 
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    • Why do psychiatric patients attend or not attend treatment groups in the community: A qualitative study
    •   QMRO Home
    • Wolfson Institute of Preventive Medicine
    • Centre for Psychiatry
    • Why do psychiatric patients attend or not attend treatment groups in the community: A qualitative study
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    Why do psychiatric patients attend or not attend treatment groups in the community: A qualitative study

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    Accepted version (110.8Kb)
    Volume
    13
    DOI
    10.1371/journal.pone.0208448
    Journal
    PLOS ONE
    Issue
    12
    ISSN
    1932-6203
    Metadata
    Show full item record
    Abstract
    Background: Non-attendance of treatment groups in the community has been a long-standing problem in mental health care. It has been found to have financial ramifications for services, worsen outcomes for those that do not attend and negatively impact on therapeutic group processes. There is a need to gain a better understanding of patients’ reasons for attending or not attending. This study aimed to explore patient views on facilitators and barriers to the attendance of treatment groups in the community. Methods: The study used interview data collected as part of three studies that investigated treatment groups for psychiatric patients in the community. Sixty-seven interview transcripts were analysed using the framework method. Results: Five themes relating to facilitators of group attendance were identified: opportunity for autonomy; self-acknowledging need and therapist encouragement; optimal group format and safe environment; interest in content and enjoyment; actual and expected benefits of attendance. Four themes related to barriers: not being sufficiently informed; concerns about social interactions and the unknown; limited accessibility; and negative group dynamics. Conclusion: To facilitate attendance and reduce attrition to treatment groups in the community clinicians should address patient’s wishes for information, capture their interest in the group modality, and potentially offer a ‘trial’ session. Furthermore, they should make the group location and time as accessible as possible and create a moderately sized group of six to eight patients. In these groups, mutual respect, feelings of safety and encouragement appear essential to make patients feel they can benefit from attendance
    Authors
    Dilgul, M; McNamee, P; Orfanos, S; Carr, CE; Priebe, S
    URI
    http://qmro.qmul.ac.uk/xmlui/handle/123456789/53123
    Collections
    • Centre for Psychiatry [736]
    Copyright statements
    (c) The Author(s), 2018.
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