Association between parents' trust in mental health professionals and disengagement from psychiatric service within the first 6 months of initial treatment of schizophrenia

Early Interv Psychiatry. 2015 Aug;9(4):335-8. doi: 10.1111/eip.12162. Epub 2014 Jun 22.

Abstract

Aim: To investigate the association between parents' encounter with reliable mental health professionals and disengagement from initial treatment among patients with schizophrenia.

Methods: This study was a part of the Reaching People Early Tokyo Survey. Participants were recruited from groups for family members of people with mental ill-health around Tokyo. Self-report questionnaires completed by 467 parents were analysed.

Results: Disengagement rate was 16.2% among patients whose parents met reliable mental health professionals within the initial 6 months, but 33.7% among patients whose parents did not report meeting such professionals. The odds of disengagement was less than half in the first group than in the second group (OR 0.38, 95% CI 0.21-0.67).

Conclusions: Establishing trust with family members might prevent disengagement from initial treatment among patients with schizophrenia. Mental health professionals should spend time to build a trusting relationship with families within the initial period of treatment.

Keywords: disengagement; family; initial period of treatment; schizophrenia; trust in mental health professional.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Humans
  • Male
  • Middle Aged
  • Parents / psychology*
  • Professional-Patient Relations*
  • Schizophrenia / therapy*
  • Surveys and Questionnaires
  • Trust*
  • Young Adult