Improvement in clients who have given different reasons for dropping out of treatment

Gene Pekarik

105 citations0/0 files storedJournal of Clinical Psychology

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Psychotherapy Techniques and Applications Mental Health Treatment and Access Counseling Practices and Supervision

Abstract

Addressed the dropout problem by (a) directly asking clients their reasons for dropping out; and (b) assessing pretherapy to follow-up symptom change in clients grouped by dropout reason. Forty-six dropouts who had been administered the Brief Symptom Inventory at intake were contacted 3 months later. At follow-up they were asked their reasons for dropping out and readministered the Brief Symptom Inventory. It was found that 39% quit due to "no need for services," 35% due to "environmental constraints," and 26% due to "dislike of services." The "no need for services" and "environmental constraints" groups had significant decreases in intake to follow-up Brief Symptom Inventory scores. Dropouts were found to be a heterogeneous group whose follow-up adjustment was related to termination reason. This contradicts prevailing notions that consider all dropouts as treatment failures.

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References

1987Handbook of Psychotherapy and Behavior Change 1975Dropping out of treatment: A critical review.1994Research on client variables in psychotherapy.1980Self-Described Reasons for Premature Termination of Psychotherapy by Mexican American, Black American, and Anglo-American Patients

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2000Treatment duration prediction: Client accuracy and its relationship to dropout, outcome, and satisfaction.2002Dropping out of care: inappropriate terminations of contact with community-based psychiatric services 1996Dropping out of psychiatric treatment: a prospective study of a first‐admission cohort 2009Assessing the Statistical and Personal Significance of the Method of Levels 2000Routine Outcome Monitoring in a Public Mental Health System: The Impact of Patients Who Leave Care 1992Predicting patient dropout in psychotherapy.2010Client and therapist views of contextual factors related to termination from psychotherapy: A comparison between unilateral and mutual terminators 1992Posttreatment adjustment of clients who drop out early vs. late in treatment

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