{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T14:15:13Z","timestamp":1788531313282,"version":"build-2803163510"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Failure to continue scheduled follow-up is a common challenge in child and adolescent mental health services and may reduce treatment effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The present retrospective study aimed to examine demographic, clinical, and treatment-related characteristics associated with attendance at the last scheduled follow-up appointment among children and adolescents receiving outpatient psychiatric care and to identify characteristics associated with the documented reasons for non-attendance among patients who missed their last scheduled follow-up appointment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted using medical records of 841 patients aged 1\u201318 years who attended a tertiary child and adolescent psychiatry outpatient clinic between 2015 and 2026. Demographic, clinical, and treatment-related characteristics were summarized descriptively. Associations between categorical variables were examined using Pearson\u2019s chi-square test, and effect sizes were reported using Cram\u00e9r\u2019s V.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 841 patients, 142 had no scheduled follow-up appointment and were excluded from the attendance analysis. Among the remaining 699 patients, 56.8% attended their last scheduled follow-up appointment. No significant associations were observed between attendance and the demographic, clinical, or treatment-related characteristics examined. Among the 302 non-attendees, unspecified reasons (36.8%) and scheduling conflicts (17.5%) were most frequent. Documented reasons for non-attendance were significantly associated with medication prescription status (\u03c7\u00b2 = 9.749, p = 0.008, Cram\u00e9r\u2019s V\u00a0=\u00a00.181) and drug class (\u03c7\u00b2 = 10.202, p = 0.037, Cram\u00e9r\u2019s V\u00a0=\u00a00.130).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Last scheduled follow-up attendance was not significantly associated with the demographic, clinical, or treatment-related characteristics examined. Among non-attendees, documented reasons for non-attendance were associated with medication prescription status and drug class. Systematic documentation of non-attendance reasons may help identify barriers to continuity of care and inform targeted follow-up strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1927279","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T13:23:30Z","timestamp":1788528210000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Follow-up attendance and documented reasons for non-attendance in child and adolescent mental health care: a retrospective analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Serkan","family":"Suren","sequence":"first","affiliation":[{"name":"Serkan S\u00fcren Child and Adolescent Psychiatry Clinic","place":["Samsun, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deniz Yavuz","family":"Baskiran","sequence":"additional","affiliation":[{"name":"Liver Transplantation Institute, Faculty of Medicine, Inonu University","place":["Malatya, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.8.837","article-title":"Prevalence and development of psychiatric disorders in childhood and adolescence","volume":"60","author":"Costello","year":"2003","journal-title":"Arch Gen Psychiatry"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170500471X","article-title":"The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies","volume":"36","author":"Faraone","year":"2006","journal-title":"Psychol Med"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2001.tb05783.x","article-title":"Attention deficit\/hyperactivity disorder and substance abuse: diagnostic and therapeutic considerations","volume":"931","author":"Sullivan","year":"2001","journal-title":"Ann N Y Acad Sci"},{"key":"B4","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1016\/j.cpr.2013.04.005","article-title":"A meta-analytic review on treatment dropout in child and adolescent outpatient mental health care","volume":"33","author":"de Haan","year":"2013","journal-title":"Clin Psychol Rev"},{"key":"B5","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/1363461517731702","article-title":"A review of mental health treatment dropout by ethnic minority youth","volume":"55","author":"de Haan","year":"2018","journal-title":"Transcult Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-021-01939-8","article-title":"The black hole of the transition process: dropout of care before transition age in adolescents","volume":"32","author":"Reneses","year":"2023","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-023-02182-z","article-title":"Drop-out and ineffective treatment in youth with severe and enduring mental health problems: a systematic review","volume":"33","author":"de Soet","year":"2024","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200003000-00015","article-title":"Factors associated with early dropout from adolescent psychiatric outpatient treatment","volume":"39","author":"Pelkonen","year":"2000","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900491","article-title":"Patterns of youth mental health service use and discontinuation: population data from Australia's Headspace model of care","volume":"71","author":"Seidler","year":"2020","journal-title":"Psychiatr Serv"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.623681","article-title":"The burden of antipsychotic-induced weight gain and metabolic syndrome in children","volume":"12","author":"Libowitz","year":"2021","journal-title":"Front Psychiatry"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2005.15.901","article-title":"Rates and predictors of adherence with atypical antipsychotic medication: a follow-up study of adolescent inpatients","volume":"15","author":"Pogge","year":"2005","journal-title":"J Child Adolesc Psychopharmacol"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13758","article-title":"The impact of weight gain on antipsychotic nonadherence or discontinuation: a systematic review and meta-analysis","volume":"151","author":"De","year":"2025","journal-title":"Acta Psychiatr Scand"},{"key":"B13","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1136\/emj.20.1.54","article-title":"Observational research methods. 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