Establishing Treatment Relations With Alcoholics

Chafetz, Morris E.; Blane, Howard T.; Abram, Harry S.; Golner, Joseph H.; Lacy, Elizabeth; McCourt, William F.; Clark, Eleanor; Meyers, William R.

doi:10.1097/00005053-196205000-00001

Cited by 136 publications

(49 citation statements)

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“…For the present study, only patients with appointments at the five clinics held over Monday to Thursday were entered into the project, for administrative convenience. Patients were excluded from the study if they had ever attended an appointment at the clinic, to exclude the possibility that a therapeutic relationship with staff members had been formed that had the potential to influence attendance (Chafetz et al, 1962). Patients were included who had previously requested an appointment but had not attended or had cancelled the appointment.…”

Section: Methodsmentioning

confidence: 99%

“…A ''brief intervention'' prior to referral has been found to be effective in reducing nonattendance (Bien, Miller, & Tonigan, 1993). Such interventions invariably include a motivational component that is delivered by professionals within the context of a therapeutic relationship (e.g., Chafetz et al, 1962). Reminding patients by telephone about their imminent appointment without any supplementary counselling and with no ambition to forge a therapeutic relationship has not been adopted for initial appointments in alcohol treatment services.…”

Section: Literature Reviewmentioning

confidence: 99%

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Factors associated with attendance for first appointments at an alcohol clinic and the effects of telephone prompting

Booth

Bennett

2004

Journal of Substance Use

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Aims: To identify variables associated with response to first appointments at a specialist alcohol treatment clinic, and to determine the effect on patients' attendance of a brief telephone prompt prior to the appointment. Design, participants and intervention: Multivariate analysis of patient characteristics from referral letters and aspects of the quality of the referral process was carried out. Consecutive non-repliers (n~100), non-attenders (n~100) and attenders (n~100) were studied. A further 100 patients were matched and allocated to two groups, one of which received a telephone prompt prior to their appointment. Clinic attendance was noted. Findings: Results showed that patients' older age, shorter travelling distance to the clinic, shorter waiting time and administrative delay, faster response by the patient to the appointment invitation, and morning appointments were associated with positive responses. Patients not receiving a telephone prompt were less likely to attend. Conclusions: Reductions in waiting time for first appointment, locally based services and prompting patients by telephone would appear to hold promise as strategies for reducing non-attendance in alcohol dependency. Planning would need to take account of whether services could adequately cope with additional demand. Further research to assess the influence of patients' readiness to change prior to appointments is warranted.

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Section: Methodsmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Factors associated with attendance for first appointments at an alcohol clinic and the effects of telephone prompting

Booth

Bennett

2004

Journal of Substance Use

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“…Finally, these data have some bearing on the dismal out-patients visit rates for alcoholic clients reported by Chafetz (1962) and others (e.g., Panepinto and Higgins, 1969;Mayer and Myerson, 1971). If" the individual alcoholic does not perceive his treatment as beneficial, he may very well drop out after only a few sessions.…”

Section: Discussionmentioning

confidence: 72%

mentioning

confidence: 99%

“…Chafetz, et al, (1962) reported that 75 per cent of all new patients at the alcoholism clinic of the Massachusetts General Hospital dropped out before three visits. Chafetz, et al, (1962) further cited a report to the Alabama Commission on Alcoholism which indicated 72 per cent of new patients terminated before five visits. Panepinto and Higgins (1969), without citing figures, reported that attendance at the clinic at the State University of New York was markedly erratic and replete with patients dropping out in four visits or less.…”

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confidence: 99%

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Alcoholics' Perceptions of Selected Counseling Techniques

Obitz

1975

British Journal of Addiction to Alcohol & Other Drugs

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Fiflji male alcoholics were shown motion picture films of a directive and a non-directive therapist counseling the same client. After viewing the films the subjects rated the therapists on thirty-two variables using a seven point rating scale. Subjects perceived the non-directive technique as more socially desirable but preferred the directive technique in luorking on their own problems. It was suggested that a method of preferential selection of therapists by alcoholic clients might contribute to increasing the length of stay in treatment and provide an effective model for matching individual treatment modalities with individual client needs.

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