The Effects of Systematic Client Preparation, Severity, and Treatment Setting on Dropout Rate in Short-Term Psychotherapy

Wilson, David O.

doi:10.1521/jscp.1985.3.1.62

Cited by 11 publications

(5 citation statements)

References 12 publications

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“…Preparation information has encompassed information on the dose–effect relationship (Swift & Callahan, 2011), provision of service information (McFall, Malte, Fontana, & Rosenheck, 2000), and treatment information (McFall et al, 2000). Preparation has been administered variously through didactic educational interviews/talks (Jacobs, Charles, Jacobs, Weinstein, & Mann, 1972) and the use of different media including both video (France & Dugo, 1985; Stosny, 1994; Strassle, Borkardt, Handler, & Nash, 2011; Wilson, 1985; Zwick & Attkisson, 1985) and audio materials (Lambert & Lambert, 1984). Interventions to reduce TR by preparing patients for group psychotherapy have involved structured group exercises and specific training on group therapy processes (Piper, Debbane, Bienvenu, & Garant, 1982; Piper, Debbane, Garant, & Bienvenu, 1979).…”

Section: Narrative Overview Of Strategies To Promote Psychotherapy At...mentioning

confidence: 99%

Interventions to increase attendance at psychotherapy: A meta-analysis of randomized controlled trials.

Oldham¹,

Kellett²,

Miles³

et al. 2012

Journal of Consulting and Clinical Psychology

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Objective: Rates of non-attendance for psychotherapy hinder the effective delivery of evidencebased treatments. Although many strategies have been developed to increase attendance, the effectiveness of these strategies has not been quantified. The aim of the present study was to undertake a meta-analysis of rigorously controlled studies to quantify the effects of interventions to promote psychotherapy attendance.Method: The inclusion criteria were that studies (1) concerned attendance at individual or group psychotherapy by adults, (2) used a randomised controlled trial design to test an attendance strategy, and (3) used an objective measure of attendance. Computerised literature searches and hand searching resulted in a total of 31 RCTs that involved 33 independent tests of strategies for reducing treatment refusal and premature termination (N = 4,422). Effect sizes from individual studies were meta-analysed and moderator analyses were conducted.Results: Interventions had a small-to-medium effect on attendance across studies (d + = .38).Interventions to reduce treatment refusal and premature termination were similarly effective (d + = .37 and .39, respectively). Choice of appointment time or therapist, motivational interventions, preparation for psychotherapy, informational interventions, attendance reminders, and case management were the most effective strategies. Diagnosis also moderated effect sizes; samples with a single diagnosis benefited more from attendance interventions than samples that had a variety of diagnoses.Conclusions: Interventions to increase attendance at adult psychotherapy are moderately effective.However, relatively few studies met the strict study inclusion criteria. Further methodologically sound and theoretically informed interventions geared at increasing attendance are required. META-ANALYSIS OF PSYCHOTHERAPY ATTENDANCE 3Interventions to Increase Attendance at Psychotherapy:A Meta-Analysis of Randomised Controlled Trials A substantial proportion of clinical time is wasted because of patient non-attendance at scheduled adult psychotherapy appointments (Pekarik, 1985). The financial costs of nonattendance are marked (Hicks & Hickman, 1995; Kleine, Stone, Hicks & Pritchard, 2003), with patients not receiving help (Joshi, Maisami & Coyle, 1986) and therapists losing confidence as a result (Sledge, Moras, Hartley & Levine, 1990). Service efficiency is impaired when nonattendance rates are high (Rusius, 1995). Garfield (1994) noted that some patients fail to attend at assessment and essentially reject treatment. Hampton-Robb, Qualls, and Compton (2003) estimated that such treatment refusal (TR) occurs for 40% of referrals, on average. Premature termination (PT) occurs when patients fail to complete agreed treatment contracts (i.e., they 'drop-out' of therapy). A meta-analysis of 123 studies reported a PT rate of 46.8% (Wierzbicki & Pekarik, 1993) across treatment modalities. High PT rates are troubling in light of evidence that PT is associated with poor clinical outcome (Barret...

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Section: Narrative Overview Of Strategies To Promote Psychotherapy At...mentioning

confidence: 99%

Interventions to increase attendance at psychotherapy: A meta-analysis of randomized controlled trials.

Oldham¹,

Kellett²,

Miles³

et al. 2012

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

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“…Such barriers could accordingly be minimized. Films or other types of presentations that model appropriate client and therapist behavior may desensitize clients to potential fears and correct inacurate expectations (Wilson, 1985). In situations in which such interventions are not feasible, brochures may provide an inexpensive alternative.…”

Section: Practical Implications In the Clinic And Communitymentioning

confidence: 99%

The relation of treatment fearfulness and psychological service utilization: An overview.

Kushner¹,

Sher²

1991

Professional Psychology: Research and Practice

143

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In an integrative review of the relevant literature, it is proposed that fears and concerns surrounding the seeking and consumption of mental health services can serve as a barrier to obtaining appropriate psychological help. The article gives an overview of potentially fear-evoking aspects of help seeking and consumption, reviews empirical literature that links treatment fears to service-seeking behavior, and provides an examination of person, population, and clinic variables that relate to specific aspects of various treatment fears. Approaches aimed at circumventing or reducing treatment fears in both the community and clinic are suggested.MATT G. KUSHNER received his MA from the University of Missouri-Columbia in 1987. He is currently completing a predoctoral internship

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“…As a stable address is a concern for homeless individuals, this option is not feasible. Several studies discussed using a videotape orientation as a potential strategy (Barry & Daniels , Wilson , Zwick & Attkisson ). It would be useful to engage clients when developing videos to make sure they will be culturally appropriate for the population.…”

Section: Discussionmentioning

confidence: 99%

Adherence to behavioral therapy and psychiatry visits in a safety-net setting in Virginia, USA

Moczygemba

Osborn²,

Lapane

2014

Health Soc Care Community

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Little is known about predictors of adherence to outpatient behavioural therapy and psychiatry visits in those who experience homelessness. Yet, consistent receipt of services in the community is critical to preventing use of acute care psychiatric services, which cause a significant cost burden to the mental health system. This retrospective study examined sociodemographic, housing instability and health-related factors associated with adherence to behavioural therapy and psychiatry appointments among 1711 clients served by an urban healthcare for the homeless centre in Virginia, USA. Clients ≥18 years old with a behavioural health condition who had an intake assessment and at least one behavioural therapy or psychiatry appointment scheduled during October 2005-September 2009 were eligible for the study. Of those with scheduled behavioural therapy visits, 27.7% were high adherers and 19.3% did not attend any appointments, whereas of those with scheduled psychiatry visits, 13.6% were high adherers and 22.1% did not attend any appointments. African Americans, when compared with whites, and those with a primary diagnosis of bipolar disorder were less likely to be high adherers to behavioural therapy. Women and being ≥35 years old were associated with a decreased likelihood of failing to attend psychiatry appointments, whereas African Americans, when compared with whites, and those with co-occurring disorders were more likely to not attend any psychiatry appointments. Understanding factors related to adherence to behavioural health services can help homeless care providers tailor strategies for improving visit adherence.

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The Effects of Systematic Client Preparation, Severity, and Treatment Setting on Dropout Rate in Short-Term Psychotherapy

Cited by 11 publications

References 12 publications

Interventions to increase attendance at psychotherapy: A meta-analysis of randomized controlled trials.

Interventions to increase attendance at psychotherapy: A meta-analysis of randomized controlled trials.

The relation of treatment fearfulness and psychological service utilization: An overview.

Adherence to behavioral therapy and psychiatry visits in a safety-net setting in Virginia, USA

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