No-Show Characteristics of Rural Clients with Mental Health Conditions

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged 0–18 years old, women, those with multiple diagnoses, and those enrolled in Medicaid or Medicare health plans had the highest no-show rates, whereas call reminders and confirmed appointments had the lowest no-show rates. In light of these findings, the implications for client retention and treatment outcomes are discussed.