Pretreatment dropout as a function of treatment delay and client variables

Festinger, David S.; Lamb, Richard; Kountz, Maria R.; Kirby, Kimberly C.; Marlowe, Douglas B.

doi:10.1016/0306-4603(94)00052-z

Cited by 87 publications

(80 citation statements)

References 5 publications

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“…Some useful procedures include providing personal introductions to treatment staff, arranging immediate initial intake assessments or regular clinic visits (Festinger et al, 1995;Stasiewicz & Stalker, 1999), and regular telephone reminders to sustain motivation (Gariti et al, 1995). With respect to AA, providers can introduce patients to an AA sponsor or recovery guide, address potential barriers such as lack of transportation and childcare services, and maintain contact to enhance continuing attendance (Johnson & Chappel, 1994).…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Moos¹,

Moos²

2006

J Clin Psychol

214

122

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This study focused on the duration of participation in professional treatment and Alcoholics Anonymous (AA) for previously untreated individuals with alcohol use disorders. These individuals were surveyed at baseline and 1 year, 3 years, 8 years, and 16 years later. Compared with individuals who remained untreated, individuals who obtained 27 weeks or more of treatment in the first year after seeking help had better 16-year alcohol-related outcomes. Similarly, individuals who participated in AA for 27 weeks or more had better 16-year outcomes. Subsequent AA involvement was also associated with better 16-year outcomes, but this was not true of subsequent treatment. Some of the association between treatment and long-term alcohol-related outcomes appears to be due to participation in AA.*

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Section: Limitations and Future Directionsmentioning

confidence: 99%

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Moos¹,

Moos²

2006

J Clin Psychol

214

122

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“…Prevalence estimates range from 15% to as high as 75% (Kicklighter, 2001). Reports over the last 30 years regarding first session nonattendance in community mental health centers and other outpatient clinics consistently report non-engagement rates approximating one-third to one-half of all intakes (Evans, 1999;Festinger, Lamb, Kountz, Kirby, & Marlowe, 1995;Hochstadt & Trybula, 1980;Raynes & Warren, 1971). Although intake procedures vary from clinic to clinic, for the purpose of this study, an intake is broadly defined as the process in which a potential client contacts a provider for therapy and sets an initial appointment.…”

mentioning

confidence: 98%

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

et al. 2006

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A great deal of clinical research has sought to describe and suggest remedies for the client dropout phenomenon. However, few studies have addressed the equally pervasive, yet often ignored, non-engagement problem. An exploratory study was conducted to understand why many clients fail to engage in family therapy services after they have completed the initial intake. The results of the study suggest that therapist gender and experience level, clinic policies regarding videotaping sessions, family concerns, and changes in the presenting problem prior to the first session, had an impact on potential clients' decision to engage in therapy. Implications and future research are discussed.

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“…Algunas provienen del propio paciente, como la falta de motivación, la creencia que uno mismo puede manejar el problema sin necesidad de tratamiento, o que los tratamientos que se ofrecen son de escasa calidad y no son efectivos. Otras barreras provienen de la organización asistencial: complejidad en los mecanismos de admisión a tratamiento de estos pacientes, escasa empatía por esta patología, saturación de los dispositivos asistenciales, desconocimiento de los servicios de tratamiento y dificultades de accesibilidad geográficas [2][3][4][5][6][7] . Y finalmente las actitudes negativas de los trabajadores de la salud respecto de los trastornos adictivos [8][9][10][11][12][13][14][15][16][17][18] pueden influir no sólo en la calidad de la atención 16,17,19 sino también dificultar el acceso al tratamiento de estos pacientes 20 .…”

Section: Introductionunclassified

Accesibilidad a tratamiento en personas con problemas de Alcohol y otras Sustancias de abuso

Gilchrist¹,

Fonseca

Torrens

2011

Adicciones

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Alcohol and Drug Related Problems) is a European study. The study's main objective was to detect barriers and facilitators associated with access to treatment among patients with problems related to alcohol and drug use. This article presents the quantitative findings from Cataluña (Spain). Methods:Multicentric, cross-sectional study. Three main treatment entry points were assessed: General Psychiatry (CSMA), Out-patient Addiction Centers (CAS) and Primary Care (CAP). Centres were randomly selected.The Medical Condition Regard Scale was used to measure regard for working with different patient groups (diabetes, depression, patients with problems related to alcohol and patients with problems related to drugs).Results: Differences were detected in regard towards working with patients with alcohol, drugs and depression by treatment entry point.Professionals from the CASs reported higher regard towards working with substance users than professionals from CSMAs (p<0,001) or professionals from CAPs (p<0,001). Conclusions:The attitudes of professionals towards patients with substance use disorders are important for treatment engagement.Treatment policy needs to consider how to improve staff attitudes.

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Pretreatment dropout as a function of treatment delay and client variables

Cited by 87 publications

References 5 publications

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

Accesibilidad a tratamiento en personas con problemas de Alcohol y otras Sustancias de abuso

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