Posttreatment adjustment of clients who drop out early vs. late in treatment

Pekarik, Gene

doi:10.1002/1097-4679(199205)48:3<379::aid-jclp2270480317>3.0.co;2-p

Cited by 62 publications

(37 citation statements)

References 23 publications

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“…[3][4][5][6][7][8][9][10][11] The difficulty in establishing a precise figure lies in the fact that there is no uniformity in the definition of treatment discontinuation. 3 Some researchers define early treatment discontinuation as terminating the treatment without previous agreement with the therapist, others use the number of visits or the length of time as criteria.…”

mentioning

confidence: 99%

Early termination of cognitive-behavioural interventions: literature review

Salmoiraghi

Sambhi

2010

Psychiatrist

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Cognitive-behavioural therapy (CBT) is a well-recognised psychotherapeutic intervention for the treatment of a number of psychiatric conditions such as depression, anxiety, eating disorders and obsessive-compulsive disorder.1 Furthermore, CBT techniques have proven to be efficacious in targeting specific conditions such as chronic delusions and hallucinations in schizophrenia. Lord Layard examined the need for psychological treatments in the UK and speculated that there will be a demand to train 5000 more psychological therapists by 2013, mostly in CBT.

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confidence: 99%

Early termination of cognitive-behavioural interventions: literature review

Salmoiraghi

Sambhi

2010

Psychiatrist

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“…In recognition of this problem, some research divides those terminating after one or two sessions from those terminating after three sessions or more. Current research indicates that the strongest predictor of early dropout is a client's prediction of treatment duration (Pekarik, 1983a;Pekarik, 1983b;Pekarik, 1985a;Pekarik, 1985b;Pekarik, Jones, & Blodgett, 1986;Pekarik & Finney-Owen, 1987;Pekarik & Stephenson, 1988;Pekarik, 1992a;Pekarik, 1992b;Mueller & Pekarik, 2000).…”

Section: Client-initiated Terminationmentioning

confidence: 97%

Termination: Legal and Ethical Considerations for Marriage and Family Therapists

Rappleyea

Harris

White

et al. 2009

UAFT

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Every Marriage and Family Therapist (MFT) must carefully plan how to initiate, convene, and terminate therapy. Determining how to ethically terminate therapy in a variety of therapeutic contexts can be challenging. Though termination is a common aspect of all therapeutic relationships, a lack of empirically based information on how to terminate therapy leaves practitioners alone in determining how best to end the treatment relationship. Furthermore, the subject of termination is discussed so scarcely in MFT literature that few authors have attempted to establish a standard for ethical termination. In the current climate of evidence-based services, predetermined session limits, and increased litigation for malpractice, MFTs must examine their termination procedures. This paper identifies the current available literature on termination and discusses the ethical and legal considerations for practicing MFTs as outlined by the AAMFT Code of Ethics (2004). Directions and suggested methods for future research are set forth.Termination of services is an event of therapy that occurs with greater frequency than any other aspect of the therapeutic relationship. Clients may terminate therapy prior to them ever receiving services (Vesper & Brock,

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“…Psychotherapy dropout also contributes to system inefficiencies, expensive psychiatric service utilization, and clinic income loss (Carpenter, Del Gaudio, & Morrow, 1979; Ogrodniczuk, Joyce, & Piper, 2005). It is also associated with lower medication adherence, poorer outcomes, and more distress (Hoffman, 1985; Pekarik, 1992). Treatment dropout has additional consequences in EAs insofar as it blocks support of critical psychosocial development needed for successful assumption of adult roles (Chung, Little, & Steinberg, 2005).…”

Section: The Clinical Population and Mental Health Carementioning

confidence: 99%

Transdiagnostic Motivational Enhancement Therapy to Reduce Treatment Attrition: Use in Emerging Adults

Mistler

Sheidow

Davis

2016

Cognitive and Behavioral Practice

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Improving outcomes of youth with mental health (MH) needs as they transition into adulthood is of critical public health significance. Effective psychotherapy MH treatment is available, but can be effective only if the emerging adult (EA) attends long enough to benefit. Unfortunately, completion of psychotherapy among EAs is lower than for more mature adults (Edlund et al., 2002; Olfson, Marcus, Druss, & Pincus, 2002). To target the high attrition of EAs in MH treatment, investigators adapted a developmentally appropriate brief intervention aimed at reducing treatment attrition (TA) in psychotherapy and conducted a feasibility study of implementation. The intervention employs motivational interviewing strategies aimed at engaging and retaining EAs in outpatient MH treatment. Motivational enhancement therapy for treatment attrition, or MET-TA, takes only a few sessions at the outset of treatment as an adjunct to usual treatment. Importantly, it can be used for TA with psychotherapy for any MH condition; in other words, it is transdiagnostic. This article presents the first description of MET-TA, along with a case example that demonstrates important characteristics of the approach, and then briefly describes implementation feasibility based on a small pilot randomized controlled trial.

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Posttreatment adjustment of clients who drop out early vs. late in treatment

Cited by 62 publications

References 23 publications

Early termination of cognitive-behavioural interventions: literature review

Early termination of cognitive-behavioural interventions: literature review

Termination: Legal and Ethical Considerations for Marriage and Family Therapists

Transdiagnostic Motivational Enhancement Therapy to Reduce Treatment Attrition: Use in Emerging Adults

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