The structure of attrition during appraisal

Albers, Robert J.; Scrivner, Larry L.

doi:10.1007/bf01422534

Cited by 9 publications

(3 citation statements)

References 19 publications

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“…Unobtrusive measures, however, remain a valuable adjunct to self-report. Data indicating problems in regularity of attendance, manner of termination, and premature withdrawal from treatment (Albers & Scrivner, 1977;Craig & Huffine, 1976;Garfield, 1978;Hoppe, 1977;Kline & King, 1973;Krebs, 1971;Otto & Moos, 1974;Sue, McKinney, & Allen, 1976) are relevant when juxtaposed with the highly positive results in satisfaction studies, indicating either inflation in self-reports or the inability of client satisfaction to lead consistently to what is typically regarded as proper use of services from an organizational vantage point.…”

Section: Methods For Assessing Consumer Satisfactionmentioning

confidence: 99%

Consumer satisfaction with mental health treatment.

Lebow¹

1982

Psychological Bulletin

354

190

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This article reviews the literature on the evaluation of consumer satisfaction with mental health treatment. The methods of assessing consumer satisfaction, the methodological issues in studies assessing satisfaction, the results of the studies, and the value of consumer evaluation are discussed. Consumer evaluation is found to be a useful though flawed method of assessing services, and it should be included in a multimethod treatment evaluation,

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Section: Methods For Assessing Consumer Satisfactionmentioning

confidence: 99%

Consumer satisfaction with mental health treatment.

Lebow¹

1982

Psychological Bulletin

354

190

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“…Public psychotherapy clinic drop-out rates often exceed 50% (Garfield, 1986;Pekarik, 1985). Albers and Scrivner (1977) identified the drop-out rate as the most pressing health care delivery problem of Community Mental Health Center outpatient clinics. Although private practice drop-out rates have been little researched, the similarity of clients' attendance patterns at public and private settings (Taube, Burns, & Kessler, 1984) suggests similar drop-out rates at both settings.…”

mentioning

confidence: 99%

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

Pekarik

1992

J. Clin. Psychol.

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Symptom improvement from intake until 4 months later was assessed for 33 adult and 35 child psychotherapy drop‐outs. Client ratings, therapist ratings, and symptom checklist changes were used as measures. Early drop‐outs (one or two visits) were less well adjusted than late drop‐outs (three or more visits) for both adults and children, though the difference was stronger for adults. Few differences were found between late drop‐outs and completers. It was concluded that outcome researchers should use routinely the same procedures for assessing drop‐outs' and completers' outcomes and that improvement of early and late drop‐outs should be distinguished.

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“…Williams and Pollack (1964) considered this group to be treatment "failures"; Gould et al (1970) termed such people "those who flirt with treatment"; Albers and Scrivner (1977) referred to these persons as going through the "screening" or "appraisal" phase in help seeking; and Noonan (1973) used the term "pretherapy dropouts," a similar designation to that used by Raynes & Warren (1971a). The term that will be used in this paper will be inquiry group, or more colloquially, teasers, to designate persons who expressed initial interest in mental health services without translating this interest into action.…”

mentioning

confidence: 99%

Users and “teasers”: Failure to follow through with initial mental health service inquiries in a child and family treatment center

Lowman¹,

DeLange

Roberts

et al. 1984

J. Community Psychol.

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This article examines the experience of families who contacted a child and family community mental health treatment center, but then did not follow through to receive even one session of diagnosis or treatment at the agency. The paper reports the base rate for this behavior in a large (N = 2,358) sample of cases who either only made inquiry or who received treatment at the agency. The inquiry group, or “teasers,” tended to have children who were older than client groups, to have relatively more behavioral and fewer personality problems, to have demonstrated problems earlier than client groups, and to have parents who were slightly older. A follow‐up study was conducted with 100 inquiry and 100 client cases. The relative efficacy of telephone and written questionnaire methodologies are compared, demonstrating that the telephone approach was more effective. Client‐group children were reported to be only moderately better off at the time of follow‐up than the inquiry group, but conclusions about the effects of treatment are limited by the finding that many members of the inquiry group had sought treatment elsewhere after their brief contact with the agency. Implications of this study for community mental health administration and for future research in this area are discussed.

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The structure of attrition during appraisal

Cited by 9 publications

References 19 publications

Consumer satisfaction with mental health treatment.

Consumer satisfaction with mental health treatment.

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

Users and “teasers”: Failure to follow through with initial mental health service inquiries in a child and family treatment center

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