Article1993

Risk for Attrition in Treatment of Antisocial Children and Families

Alan E. Kazdin · Jennifer L. Mazurick · Debra C. Bass

240 citations0/0 files storedJournal of Clinical Child Psychology

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Child and Adolescent Psychosocial and Emotional Development Child Welfare and Adoption Psychotherapy Techniques and Applications

Abstract

Examined differences between children and families who completed outpatient treatment and those who terminated prematurely. Children (N = 160, ages 5 to 13) referred to treatment for antisocial behavior and their families participated Dysfunction in several parent, family, and child domains was predicted to distinguish those who completed treatment from those who terminated prematurely. Premature termination of treatment was greater for younger mothers, single parents, and minority-group families; for families with socioeconomic disadvantage, high stress and more adverse life events, adverse family childrearing practices; and for mothers with a history of antisocial behavior in their childhood Child characteristics associated with premature termination from treatment included severity, breadth, and history of antisocial behavior; academic and educational dysfunction; current contacts with antisocial peers; and multiple (comorbid) diagnoses. The accumulation of multiple factors placed families at increased risk for dropping out of treatment prematurely. The results suggest that the more dysfunctional children and families may be at greater risk for dropping out of treatment.

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References

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1999Barriers to Treatment Participation and Therapeutic Change Among Children Referred for Conduct Disorder 2008Predicting Treatment and Follow-up Attrition in Parent–Child Interaction Therapy 1995Child, parent and family dysfunction as predictors of outcome in cognitive-behavioral treatment of antisocial children 2005Outcomes of Parent-Child Interaction Therapy: A Comparison of Treatment Completers and Study Dropouts One to Three Years Later

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