Correlates of Patient Attrition in the Outpatient Treatment of Alcoholism

Baekeland, Frederick; Lundwall, Lawrence; Shanahan, Thomas J.

doi:10.1097/00005053-197308000-00002

Cited by 79 publications

(52 citation statements)

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“…outpatient psychiatric populations have found that patients who are more depressed tend to remain longer in treatment, probably to get help for their depression (Taulbee, 1958). However, when the population studied was alcoholic patients, those more depressed tended to drop out of treatment earlier (Baekeland et al, 1973). The present study also found that the patient's depression score, at admission to the obesitytreatment program, was significantly negatively correlated with subsequent attendance (p < .05).…”

Section: Discussionsupporting

confidence: 41%

“…No previous research has directly compared neuroticism with premature termination; however, several studies have compared anxiety measures with dropout. Baekeland et al (1973) found that dropouts from an alcoholism program tended to be significantly more anxious than non-dropouts, although other researchers (Lorr et al, 1958;Rubinstein et al, 1957;Taulbee, 1958), working with adult psychiatric male patients in a V.A. Mental Hygiene Clinic, obtained the opposite finding that is, more anxious patients tended to remain in treatment).…”

Section: Discussionmentioning

confidence: 94%

“…While no previous research is directly related to this finding, Rubinstein et al (1957) found that remainers in psychotherapy tended to be psychiatrically sicker. Similarly, Baekeland et al (1973) found that those alcoholics, who dropped out of their program after only one visit, seemed to be suffering the least impairment in their lives due to the alcoholism. Perhaps patients who have been substantially overweight for relatively shorter periods may not see their obesity as a disability serious enough to warrant continued treatment (as in Rubinstein et al, 1957) or may feel that their lives are not significantly impaired by the obesity (as in Baekeland et al, 1973).…”

Section: Discussionmentioning

confidence: 94%

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Factors related to attendance rates in obesity-treatment-groups

Popler¹,

Packer²

1979

Group

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Although the effectiveness of behaviorally-oriented obesity-treatment groups has been empirically established for some time, one continual problem, often cited, has been the high dropout rate. Previous authors have urged the investigation of possible predictive variables, but to date there have been no systematic empirical investigations.The present study elicited a large number of personal, psychological, physical, and social characteristics of persons seeking group treatment for obesity and correlated those variables with their subsequent attendance.Analyses found several variables to be significantly correlated with subsequent group attendance (number of years obese, highest grade, current age, depression score, neuroticism score, self-sufficiency score). Other interesting and significant correlations, among the variables, were elicited. A step-wise multiple regression analysis elicited two significant variables (neuroticism score and the number of years obese) which accounted for 20 percent of the subsequent attendance variance.The findings were discussed in the context of maximizing the efficiency of obesity-treatment-group programs. Theoretical and practical implications were also proposed.The effectiveness of behaviorally-oriented obesity-treatment programs has been empirically established for some time (

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Section: Discussionsupporting

confidence: 41%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

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Factors related to attendance rates in obesity-treatment-groups

Popler¹,

Packer²

1979

Group

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“…The technique of role induction has received modest support in several studies on the retention of clients in treatment (see Baekeland, Lundwall and Shanahan, 1973;Hoehn-Saric et al, 1963;Zweben and Li, 1981). Zweben and Li (1981) found that some form of systematic preparation for treatment was better than not receiving such instruction in terms of improving retention rates, but only for clients whose initial expectations of the program were in agreement with what was actually delivered ("low discrepant clients").…”

Section: Workermentioning

confidence: 99%

Facilitative Strategies for Retaining the Alcohol-Dependent Client in Outpatient Treatment

Dsw

Msw

Chaim

et al. 1988

Alcoholism Treatment Quarterly

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Facilitative strategies for preventing early withdrawal from treatment among alcohol dependent clients are described. These strategies are amed at identifyin and resolving problems arising in treatment which might eventual k y lead to premature terrnination. Role induction, eliciting reflection on treatment, eliciting self-motivational statements, delaying commitment to change, immunization, exploring and interpreting noncompliant behavior are the techniques discussed in the paper. The various circumstances under which different strategies are employed are specified in order to demonstrate the utility of the intervention package. Tables and case illustrations are used to provide further detail on the implementation process.

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“…This means that there will be a lag between the end of detoxification and the achievement of therapeutic blood levels of acamprosate in the post-detoxification or rehabilitation period. It has been shown that there is a high rate of treatment dropout in alcohol dependent patients in the interval between detoxification and rehabilitation treatments (Baekeland, Lundwall, & Shanahan, 1973). Delays in achieving therapeutic blood levels of acamprosate caused by starting treatment after detoxification may exacerbate the problem of drop out and otherwise negatively affect treatment outcome.…”

Section: Introductionmentioning

confidence: 99%

Initiating acamprosate within-detoxification versus post-detoxification in the treatment of alcohol dependence

Kampman

Pettinati

Lynch

et al. 2009

Addictive Behaviors

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OBJECTIVES-This trial compared the efficacy of acamprosate, started at the beginning of detoxification, to acamprosate started at the completion of detoxification, in the treatment of alcohol dependence.METHODS-This biphasic clinical trial consisted of a randomized, double-blind, placebocontrolled Detoxification Phase (DP), followed by a 10-week open-label Rehabilitation Phase (RP). Forty alcohol dependent patients were randomly assigned to receive either 1998 mg of acamprosate daily, or matching placebo, during the DP (5-14 days). After completing detoxification, all patients received open label acamprosate (1998 mg daily) in the RP. Outcome measures during the DP included: treatment retention, alcohol withdrawal, alcohol consumption, and oxazepam used. Outcome measures during the RP included: treatment retention and alcohol consumption.RESULTS-There were no significant outcome differences between acamprosate and placebotreated patients during the DP. Patients given acamprosate, compared to placebo, during the DP drank more alcohol in the RP.CONCLUSIONS-Starting acamprosate at the beginning of detoxification did not improve DP outcomes. Starting acamprosate after detoxification was completed was associated with better drinking outcomes during subsequent alcohol rehabilitation treatment.

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Correlates of Patient Attrition in the Outpatient Treatment of Alcoholism

Cited by 79 publications

References 0 publications

Factors related to attendance rates in obesity-treatment-groups

Factors related to attendance rates in obesity-treatment-groups

Facilitative Strategies for Retaining the Alcohol-Dependent Client in Outpatient Treatment

Initiating acamprosate within-detoxification versus post-detoxification in the treatment of alcohol dependence

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