title: Association between parents' trust in mental health professionals and disengagement from psychiatric service within the first 6 months of initial treatment of schizophrenia.
abstract: OBJECTIVE
  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.
authors: Department of Social Work, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan.|Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
authors: Shigeko
authors: S
authors: Ishikura
authors: Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
authors: Syudo
authors: S
authors: Yamasaki
authors: Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
authors: Shuntaro
authors: S
authors: Ando
authors: Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
authors: Atsushi
authors: A
authors: Nishida
authors: Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.|Psychiatric and Mental Health Nursing, Tokyo Medical and Dental University, Tokyo, Japan.
authors: Michika
authors: M
authors: Tanoue
authors: Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
authors: Junko
authors: J
authors: Niimura
authors: Department of Psychiatry and Behavioural Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
authors: Nozomu
authors: N
authors: Asukai
authors: Department of Social Work, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan.
authors: Yuji
authors: Y
authors: Okazaki
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D011369:Professional-Patient Relations; D012559:Schizophrenia / Q000628:therapy*; D011795:Surveys and Questionnaires; D035502:Trust; D055815:Young Adult
keywords: disengagement; family; initial period of treatment; schizophrenia; trust in mental health professional