Abstract
Poor psychotherapy attendance is a major problem facing most child community mental health centers. However, post-treatment perspectives on reasons for premature termination are rarely sought from either families or clinicians. In the present study, we collected parent data and clinician data regarding 72 and 153 clients, respectively, from four child and adolescent community mental health centers serving diverse families. Problems regarding (a) the perceived relevance of treatment and (b) the quality of the therapist–family relationship emerged as the two most consistent factors related to premature dropout. Possible interventions to increase psychotherapy attendance are highlighted.
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References
Cuffel B., McCulloch J., Wade R., Tam L., Brown-Mitchell R., Goldman W. (2000) Patients and providers’ perceptions of outpatient treatment termination in a managed behavioral health organization. Psychiatric Services 51(4): 469–473
Festinger D. S., Lamb R. J., Marlowe D. B., Kirby K. C. (2002). From telephone to office: Intake attendance as a function of appointment delay. Addictive Behavior 27(1):131–137
Garcia J. A., Weisz J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology 70(2): 439–443
Hansen N. B., Lambert M. J., Forman E. M. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice 9(3):329–343
Kazdin A. E., Holland L., Crowley M., (1997a). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology 65(3): 453–463
Kazdin A. E., Holland L., Crowley M., Breton S., (1997b). Barriers to treatment participation scale: Evaluation and validation in the context of child outpatient treatment. Journal of Child Psychology and Psychiatry 38(8): 1051–1062
Luk E. S. L., Staiger P., Mathai J., Wong L., Birleson P., Adler R. (2001). Evaluation of outcome in child and adolescent mental health services: Children with persistent conduct problems. Clinical Child Psychology and Psychiatry 6(1): 109–124
Ogles B. M., Melendez G., Davis D. C., Lunnen K. M., 2001, The Ohio scales: Practical outcome assessment. Journal of Child and Family Studies, 10(2): 199–212
Prinz R. J., Miller G. E., (1994). Family-based treatment for childhood antisocial behavior: Experimental influences of dropout and engagement. Journal of Consulting and Clinical Psychology 62(3): 645–650
Snowden L. R., Thomas K., (2000). Medicaid and African American outpatient mental health treatment. Mental Health Services Research 2(2): 115–120
Stevens J., Harman J. S., Kelleher K. J., (2005). Race/ethnicity and insurance status as factors associated with ADHD treatment patterns. Journal of Child and Adolescent Psychopharmacology 15(1): 88–96
Walitzer K. S., Derment K. H., Conners G.J., (1999). Strategies for preparing clients for treatment: A review. Behavior Modification 23(1): 129–151
Wierzbicki M., Pekarik G., (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice 24(2): 190–195
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Jack Stevens is affiliated with The Ohio State University, Columbus, OH, USA.
Kelly J. Kelleher is affiliated with The Ohio State University, Columbus, OH and Center for Innovation in Pediatric Practice, Columbus Children’s Research Institute, Columbus, OH, USA.
Jeanne Ward-Estes and John Hayes are affiliated with Columbus Children’s Research Institute, Columbus, OH, USA.
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Stevens, J., Kelleher, K.J., Ward-Estes, J. et al. Perceived Barriers to Treatment and Psychotherapy Attendance in Child Community Mental Health Centers. Community Ment Health J 42, 449–458 (2006). https://doi.org/10.1007/s10597-006-9048-5
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DOI: https://doi.org/10.1007/s10597-006-9048-5