Preparation for treatment of the disadvantaged patient: Effects on disposition and outcome.

Jacobs, Daniel B.; Charles, E; Jacobs, Theodore J.; Weinstein, Henry C.; Mann, David N.

doi:10.1111/j.1939-0025.1972.tb02533.x

Cited by 34 publications

(21 citation statements)

References 7 publications

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“…The other two studies 19,20 (of the three finding significant results) found improved attendance rates among roleinducted patients. The study by Garrison 19 examined two methods of role induction: verbal interview and written material.…”

Section: Individualmentioning

confidence: 90%

Strategies for Reducing Patient-Initiated Premature Termination of Psychotherapy

Ogrodniczuk¹,

Joyce

Piper

2005

Harvard Review of Psychiatry

181

188

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Rates of patient-initiated premature termination in different forms of psychotherapy are consistently high. Patient-initiated premature termination is recognized as a significant obstacle to the effective and efficient use of psychotherapy. The literature describes many strategies for preventing premature termination, but lacks integration. This review attempts to provide a concise and comprehensive summary of the strategies that research or clinical experience have suggested may be useful for minimizing patient-initiated premature termination. A search was conducted on the MEDLINE, PsycINFO, and EMBASE databases for literature published between January 1970 and March 2004. Retrieved articles were published in English in peer-reviewed journals and focused on psychotherapy for adults. Thirty-nine publications that discussed strategies for preventing or reducing patient-initiated premature termination of psychotherapy were identified. Surprisingly, only 15 of these were research studies. Most of the retrieved literature consisted of clinical descriptions. The strategies can be assigned to nine categories: pretherapy preparation, patient selection, time-limited or short-term contracts, treatment negotiation, case management, appointment reminders, motivation enhancement, facilitation of a therapeutic alliance, and facilitation of affect expression. Research supports some of the strategies for reducing premature termination. However, methodologically sound studies of prevention strategies remain few in number.

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Section: Individualmentioning

confidence: 90%

Strategies for Reducing Patient-Initiated Premature Termination of Psychotherapy

Ogrodniczuk¹,

Joyce

Piper

2005

Harvard Review of Psychiatry

181

188

View full text Add to dashboard Cite

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“…Instituting a group intake was suggested by some people (Garfield & Bergin, 1978;Klein, 1980;Raynes & Warren, 1976). In the same line of reasoning, Jacobs, Charles, Jacobs, Weinstein, and Mann (1972) showed positive effects with the utilization of a brief educational process as a tool to help diminish communication discrepancies between clients from low socioeconomic levels and their middle class clinicians An additional example of the use of an'educational approach to enhance compliance to psychotherapy includes a study by King (1981) who utilized two different preparation methods for child therapy in a mental health clinic: a telephone interview and an orientation film. The positive results of the orientation film reported in her study indicated the importance of sharing expectations regarding treatment in the client-clinic relationship (King, 1981).…”

Section: Contributions Of Health Psychologymentioning

confidence: 95%

“…Health psychology research may offer an alternative explanation for the above results. Studies in the area of practitioner-patient relationship (Francis et al, 1969;Korsch et al, 1968) were less likely to return and were less likely to feel satisfied by the treatment received (Burck, 1978;Jacobs et al, 1972, King, 1981Plunkett, 1981). Such factors were not assessed in this study, but it is a fertile topic for future research.…”

Section: Treatment Compliancementioning

confidence: 99%

Therapy success in a child guidance center as a function of intake and treatment variables

Joffe

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Prior contact with the DMCGC 59 Presence of a man in the home, his relationship with the client, and his employment status 59 Presence of a woman in the home, her relationship with the client, and her employment status 61 Marital status of clients' natural parents 63 Presence and number of siblings in the client's family 63 Income distribution 65 Religious preference of the sample 65 Racial distribution 66 Medication 66 Characteristics of services sought and provided in the Center 66 Frequency of service requests 66 Preintake waiting time: Time.between the first call and the initial interview Family members who had been seen at the DMCGC before the 1983 interview Who made the initial contact seeking services? Who referred children to the DMCGC? Presence of parents at the intake interview 71 Clients' levels of psychological functioning assessed at the time of the initial interview Coded diagnosis at the time of the initial inter view Frequency of overcontrolled behavior clusters at the time of the initial interview 71 Intake worker characteristics Location of proposed service 74 Treatment modalities recommended at the time of the intake interview 75 Compliance with treatment recommendations 75 Waiting time between the initial interview and the first therapy visit 76 Therapists' characteristics 77 Location where therapy was delivered 77 Treatment modalities implemented 77 Duration of therapy in months 79 Number of therapy visits 79 Appointments missed 81 Clients' levels of psychological functioning at the time of termination of services with the DMCGC 81 Reason for termination of contact with the DMCGC 82 V Change in the diagnostic category after inter vention Overcontrolled and undercontrolled behavior clusters Treatment Modality Recommended 84 Age group 85 Other demographic variables 85 Previous contact Referral Family constellation Clients' psychological characteristics Intake worker characteristics Proposed treatment and received treatment Treatment Received Age group Income Clients' psychological characteristics 91 Place where service was received 91 Therapist characteristics 92 Treatment variables 94 Summary 94 Compliance to Treatment Recommendations 97 • Demographic variables 97 Family constellation 97 Referral and previous contact 97 Clients' psychological characteristics 98 Intake worker characteristics 100 .. Intake variables 100 Presence of father (or father figure) in the initial interview 100 Location of proposed service 101 Waiting time between the intake interview and the first therapy session scheduled 101 Summary 102 Treatment Outcome 102 Change in the child's diagnostic classification from the time of the first interview at the DMCGC to the occasion of termination of contact with the DMCGC 104 Location where service was provided Received treatment 104 105 vi Compliance 105 Therapy length (number of visits) 106 Reason for termination of contact with the DMCGC 106 Clients' psychological levels of functioning 107 Summary 108 Reason for termination of contact with the DMCGC 109 Clients' psychological ...

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“…Thus, attempts to characterize the typical premature terminator have proved largely futile, and reviewers have concluded that existing relevant knowledge is clouded by a morass of confusing and contradic tory findings (Garfield and Bergin, 1978;Warren and Rice, 1972;Garfield, 1971). However, one conclusion that seems warranted is that lower socioeconomic status (SES) clients contribute dispropor tionately to dropout rates (Flester and Kjell, 1975;Lorlon, 1974;Jacobs et al, 1972;Warren and Rice, 1972).…”

Section: Expectancy Effect and Premature Termination In Psychotherapymentioning

confidence: 99%

“…Typically, it is the client who is subjected to the preparation program. However, an interesting departure from this "therapist knows best" attitude was taken by Jacobs et al (1972). In their study, patients received a role induction interview.…”

Section: Expectancy Effects and Psychotherapy Process And Outcomementioning

confidence: 99%

The effect of information about counseling process or the counseling center on multiple measures of counseling outcome at a university counseling service

Cegielski

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Preparation for treatment of the disadvantaged patient: Effects on disposition and outcome.

Cited by 34 publications

References 7 publications

Strategies for Reducing Patient-Initiated Premature Termination of Psychotherapy

Strategies for Reducing Patient-Initiated Premature Termination of Psychotherapy

Therapy success in a child guidance center as a function of intake and treatment variables

The effect of information about counseling process or the counseling center on multiple measures of counseling outcome at a university counseling service

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