Shifting the treatment model: impact on engagement in outpatient therapy

Adm Policy Ment Health. 2014 Jan;41(1):93-103. doi: 10.1007/s10488-012-0439-3.

Abstract

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.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Affective Symptoms / diagnosis
  • Affective Symptoms / psychology
  • Affective Symptoms / therapy
  • Ambulatory Care / organization & administration*
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Child
  • Child Behavior Disorders / diagnosis
  • Child Behavior Disorders / psychology
  • Child Behavior Disorders / therapy
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Patient Acceptance of Health Care*
  • Patient Care Planning
  • Patient Dropouts / psychology
  • Surveys and Questionnaires