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Background: Psychiatric disorders are usually long standing, requiring regular monitoring, follow up and medications for effective management of symptoms. This study was carried out to know the probable factors that affect the compliance to treatment. The aim of study is to assess the pattern and regularity of follow-ups in psychiatric patients while studying various factors affecting treatment compliance and long term compliance in patients attending psychiatry OPD. Methodology: 200 old follow up cases were enrolled in the study with consent for collecting retrospective data on compliance (long term compliance). A special pro-forma was prepared to collect the following data: Socio – demographic aspects, diagnosis and follow up details, compliance and non-compliance factors. Patients were then interviewed using the special pro-forma and relevant data was collected for the individual case. The data was then pooled, tabulated and subjected to statistical analysis. Results: Majority of patients with depressive and anxiety disorders and psychotic disorders had a good compliance while patients with substance related disorders had a poor compliance. The most frequently encountered reasons for long term poor compliance were financial constrains, busy schedule of the patients, uncooperative patients, availability of extra medications, etc. Conclusion: Socio-demographic factors do not affect the compliance of patients with mental illness. Education seems to have a clinical impact on compliance in the long term. The most significant factor affecting compliance was found to be the clinical profile of the patient. Various reasons cited by patients for poor compliance included those related to the patient, to the caregiver, to the medications and to environmental factors. As expected, compliance of patients on ECTs was good, with very few patients having poor compliance.

A Retrospective Study Of Treatment Compliance In Psychiatric Patients And Factors Affecting The Same