Abstract
Homogeneity and other characteristics of rural community mental health center adult, outpatient dropouts were investigated with particular attention to length of stay. Analyses of 93 cases during a one year period revealed that qualities of the therapist discriminated short-term dropouts from long-term dropouts and longterm terminators. The client's chronicity discriminated short-term dropouts from shortterm terminators. Dropouts were not found to be a homogeneous group. While therapist characteristics may be important in predicting termination status in long-term stays, the termination status of short-term clients may be determined primarily by the severity of the client's problems and whether or not they have received previous treatment.
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References
Albers, R.J., & Scrivner, L.L. The structure of attrition during appraisal.Community Mental Health Journal, 1977,13, 325–332.
Baekeland, F., & Lundwall, L. Dropping out of treatment: A critical review.Psychological Bulletin, 1975,82, 738–783.
Bowden, C.L., Schoenfeld, L.S., & Adams, R.L. A correlation between dropout status and improvement in a psychiatric clinic.Hospital & Community Psychiatry, 1980,31, 192–195.
Brandt, L.W. Studies of “dropout” patients in psychotherapy: A review of findings.Psychotherapy: Theory, Research & Practice, 1965,2, 2–13.
Carpenter, P.J., Del Gaudio, A. C., & Morrow, G.R. Dropouts and terminators from a community mental health center: Their use of other psychiatric services.Psychiatric Quarterly, 1979,51, 271–279.
Cartwright, R., Lloyd, S., & Wicklund, J. Identifying early dropouts from psychotherapy.Psychotherapy: Theory, Research & Practice, 1980,17, 263–267.
Dowell, D.A., & Ciarlo, J. A. Overview of the Community Mental Health Centers Program from an evaluation perspective.Community Mental Health Journal, 1983,19, 95–125.
Duehn, W. D., & Proctor, E.K. Initial clinical interaction and premature discontinuance in treatment.American Journal of Orthopsychiatry, 1977,47, 284–290.
Epperson, D.L., Bushway, D.J., & Warman, R.E. Client self-termination after one counseling session: effects of problem recognition, counselor gender, and counselor experience.Journal of Counseling Psychology, 1983,30, 307–315.
Ersner-Hershfield S., Abramowitz, S.I., & Baren, J. Incentive effects of choosing a therapist.Journal of Clinical Psychology, 1979,35, 404–406.
Fiester, A.R., Mahrer, A.R., Giambra, L.M., & Ormiston, D.W. Shaping a clinic population: The dropout problem reconsidered.Community Mental Health Journal 1974,10, 173–179.
Fiester, A.R., & Rudestam, K.E. A multivariate analysis of the early dropout process.Journal of Consulting and Clinical Psychology, 1975,4, 528–535.
Folkins, C., Hersch, P., & Dahlen, D. Waiting time and no-show rate in a community mental health center.American Journal of Community Psychology, 1980,8, 121–123.
Garfield, S.L. Research on client variables in psychotherapy. In S.L. Garfield and A.E. Bergin (Eds.),Handbook of Psychotherapy and Behavior Change: An Empirical Analysis (2nd ed.). New York: John Wiley & Sons, 1978.
Gottschalk, L.A., Mayerson, P., & Gottlieb, A.A. Prediction and evaluation of outcome in an emergency brief psychotherapy clinic.The Journal of Nervous and Mental Disease, 1964,144, 77–96.
Hoen-Saric, R., Imber, F.J., Nash, S., Stone, E., & Battle, M. Systematic preparation of patients for psychotherapy. I. Effects on therapy behavior and outcome.Journal of Psychiatric Research, 1964,2, 267–281.
Kerlinger, F.N. & Pedhazur, E.J.Multiple Regression in Behavioral Research. New York: Holt, Rinehart and Winston, 1973.
Kline, J., & King, M. Treatment dropouts from a community mental health center.Community Mental Health Journal, 1973,9, 491–498.
Littlepage, G.E., Kosloski, K.D., Schnelle, J.F., McNees, M.P., & Gendrich, J.C. The problem of early outpatient terminations from community mental health centers: A problem for whom?Journal of Community Psychology, 1976,4, 164–167.
Morrow, G.R., Del Gaudio, A.C., & Carpenter, P.J. The dropout and the terminator: A methodological note on definitions.Journal of Clinical Psychology, 1977,33, 867–869.
Orne, M., & Wender, P. Anticipatory socialization for psychotherapy: Method and rationale.American Journal of Psychiatry, 1968,124, 1202–1212.
Pekarik, G. Follow-up adjustment of outpatient dropouts.American Journal of Orthopsychiatry, 1983,53, 501–511.
Pekarik, G. Coping with dropouts.Professional Psychology: Research and Practice, 1985a,16, 114–123.
Pekarik, G. The effects of employing different termination classification criteria in dropout research.Psychotherapy, 1985b,22, 86–91.
Philips, E.L., Raiford, A., & Rutledge, V. Attrition: A perplexing clinical problem.Psychological Reports, 1967,20, 26.
Reder, P., & Tyson, R.L. Patient droupout from individual psychotherapy.Bulletin of the Menninger Clinic, 1980,44, 229–252.
Rockwell, W.J.K., & Pinkerton, R.S. Single-session psychotherapy.American Journal of Psychotherapy, 1982,36, 32–40.
Silverman, W.H., & Beech, R.P. Are dropouts, dropouts?Journal of Community Psychology, 1979,7, 236–242.
Straker, M. Brief psychotherapy in an outpatient clinic: Evolution and evaluation.American Journal of Psychiatry, 1968,124, 1219–1225.
Sue, S., McKinney, H. L., & Allen, D.B. Predictors of the duration of therapy for clients in the community mental health system.Community Mental Health Journal 1976,12, 365–375.
Tantam, D., & Klerman, G. Patient transfer from one clinician to another and dropping-out of out-patient treatment.Social Psychiatry, 1979,14, 107–113.
Warren, N.C. & Rice, L. Structure and stabilizing of psychotherapy for low-prognosis clients.Journal of Consulting and Clinical Psychology, 1972,39, 173–181.
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Tutin, J. A multivariate analysis of dropout status by length of stay in a rural community mental health center. Community Ment Health J 23, 40–52 (1987). https://doi.org/10.1007/BF00752823
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DOI: https://doi.org/10.1007/BF00752823