Abstract
Differences in patterns of utilization of psychiatric services were studied in 178 adult outpatients who either had dropped out of, or had terminated from treatment with the consent of their therapists. The Monroe County Psychiatric Case Register was employed to determine the use of psychiatric services by these patients within a period of two years before and two years after their admission to a community mental health center (CMHC). Dropping out of treatment was associated with a pattern of utilization of multiple psychiatric facilities. Of those individuals who made contact with a psychiatric facility both prior to and subsequent to their admission to the CMHC, the dropout group made, on the average, approximately twice as many contacts per person as the terminator group.
Similar content being viewed by others
References
Baekeland F, Lundwall L: Dropping out of treatment: A critical review.Psych Bull 82:738–783, 1975.
Brandt LW: Rejection of psychotherapy.Arch Gen Psychiatry 10:310–313, 1964.
Chameides WA, Yamamoto J: Referral failures: A one year follow-up.Am J Psychiatry 130:1157–1158, 1973.
Riess BF, Brandt LW: What happens to applicants for psychotherapy?Community Ment Health J 1:175–180, 1965.
Babigian HM: The role of epidemiology and mental health care statistics in the planning of mental health centers. In AI Levenson (ed):The Community Mental Health Center New York, Basic Books, 1972.
Morrow GR, Del Gaudio AC, Carpenter PJ: The dropout and the terminator: A methodological note on definitions.J Clin Psychol 33:867–869, 1977.
Del Gaudio AC, Carpenter PJ, Stein LS, Morrow GR: Characteristics of patients completing referrals from an emergency department to a psychiatric outpatient clinic.Compr Psychiatry 18:301–397, 1977.
Fiester AR, Mahrer AR, Giambra LM, Ormiston DW: Shaping a clinic population: The dropout problem reconsidered.Community Ment Health J 10:173–179, 1974.
Liptzin G, Babigian HM: Ten years experience with a cumulative psychiatric patient register.Methods Inf Med 11:238–242, 1972.
McPartland TS, Richart RH: Analysis of readmissions to a community mental health center.Community Ment Health J 2:22–26, 1966.
Lorber J, Satow R: Dropout rates in mental health centers.Soc Work 20:308–312, 1975.
Additional information
Mr. Carpenter is a clinical psychology graduate student at the University of Southern Mississippi. Dr. Del Gaudio was, until his untimely death in August 1978, an Assistant Professor of Psychiatry (Psychology); and Dr. Morrow is an Assistant Professor of Psychiatry (Psychology and Oncology) at the University of Rochester School of Medicine and Dentistry. All reprint requests should be directed to Paul J. Carpenter, P.O. Box 8482, University of Southern Mississippi, Hattiesburg, MS 39401.
Rights and permissions
About this article
Cite this article
Carpenter, P.J., Del Gaudio, A.C. & Morrow, G.R. Dropouts and terminators from a community mental health center: Their use of other psyciatric services. Psych Quart 51, 271–279 (1979). https://doi.org/10.1007/BF01082830
Issue Date:
DOI: https://doi.org/10.1007/BF01082830