Shifting the Treatment Model: Impact on Engagement in Outpatient Therapy
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- Warnick, E.M., Bearss, K., Weersing, V.R. et al. Adm Policy Ment Health (2014) 41: 93. doi:10.1007/s10488-012-0439-3
Attrition in youth outpatient mental health clinics ranges from 30 to 70 % and often occurs early in treatment. We implemented specific treatment planning strategies designed to reduce early attrition. Following implementation, 14.3 % of clients dropped out during the first five sessions compared to 26.1 % in the historical control (p < 0.001). During treatment, 33.6 % of clients dropped out in the intervention compared to 55.5 % in the historical control (p < 0.001). Engagement is central to the therapeutic process and may be particularly relevant early in treatment. Implementing evidence-based strategies to promote a collaborative relationship between the family and the clinician may increase engagement and decrease attrition.