NONCOMPLIANCE AND RELATED PHENOMENA

Objective: Review of literature on non-compliance with medication in psychiatric patients, Method: Computer and manual search of English language literature on non-compliance with drugs, psychiatric disorder, and phenomena which may be related, such as readmission and discharge against medical advice, Results: The literature is discussed and a tentative checklist of risk factors for non-compliance is offered, as is advice on ways in which the problem may be minimised, It is noted that there is an emphasis on major mental disorders in the published literature. Conclusion: There is no stereotypical defaulter. A high index of suspicion is essential. As far as possible, the patient should be educated to share in the responsibility for treatment, and concerned relatives and others can often play a pivotal role. More research is required on compliance problems in the minor psychiatric disorders, Close liaison with the general practitioner is vital.