Compliance or noncompliance with treatment in behavioral health patients influences the course of treatment and the outcomes of psychiatric disorders (Rao, George, Sudarshan, & Begum, 2017). There are many reasons that patients are non-compliant with the recommended treatment programs. Noncompliance can be due to lack of education, side effects of treatments or medications, lack of transportation, financial issues, religious or personal beliefs. It is noted that noncompliance for all medical disorders within the United States is estimated to be $100 billion dollars yearly (Centorrino et al., 2001). Noncompliance with psychiatric treatment is associated with increased clinical, social, and economic costs, and noncompliance is linked to relapse, rehospitalization, and poor outcomes among patients suffering from psychiatric disorders (Centorrino et al., 2001).
Working in a Behavioral Health Urgent care; nurses must posses the technical skills to mange equipment and preform procedures, the interpersonal skills to interact appropriately with people, and the cognitive skills to observe, recognize, and collect data; and reach a conclusion that is able to form a decision (McGonigle & Mastrian, 2017). The goal in treatment of patients is to increase compliance with treatment which will increase positive outcomes for the patient. Part of the treatment plan for patients to increase compliance with follow-up care is to schedule outpatient appointments with community agencies. Nursing informatics can manage and communicate data to inform the Behavioral Health Urgent Care if patients are completing scheduled follow-up outpatient appointments with the community agencies. If patients are not attending scheduled appointments calls can be made to find the reason that appointment was not attended. Knowledge is defined as the awareness and understanding of information, and ways that the information can be useful to support a specific task or arrive at decision (McGonigle & Mastrian, 2017). Research has showed that 1/3 of behavioral health outpatient appointments are missed which leads to an increased risk of re-hospitalization (Centorrino et al., 2001). The data can be used to find ways to increase compliance with patients attending the scheduled outpatient appointments. Adhering to treatment plans is essential to the treatment of mental health disorders.
Centorrino, F., Hernán, M. A., Drago-Ferrante, G., Rendall, M., Apicella, A., Längar, G., & Baldessarini, R. J. (2001). Factors Associated with Noncompliance with Psychiatric Outpatient Visits. Psychiatric Services, 52(3), 378–380. https://doi.org/10.1176/appi.ps.52.3.378
McGonigle, D., & Mastrian, K. (2017). Nursing Informatics and the Foundation of Knowledge (4th ed.). Jones & Bartlett Learning.
Rao, K. N., George, J., Sudarshan, C. Y., & Begum, S. (2017). Treatment compliance and noncompliance in psychoses. Indian journal of psychiatry, 59(1), 69–76. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_24_17
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