Dropout revisited: Patient- and therapist-initiated discontinuation of psychotherapy as a function of organizational instability
(2014) In Psychotherapy Research 24(6). p.724-737- Abstract
- Objective: To explore the association between the stability or instability of services' organizational structure and patient- and therapist-initiated discontinuation of therapy in routine mental health. Method: Three groups, comprising altogether 750 cases in routine mental health care in eight different clinics, were included: cases with patient-initiated discontinuation, therapist-initiated discontinuation, and patients remaining in treatment. Multilevel multinomial regression was used to estimate three models: An initial, unconditional intercept-only model, another one including patient variables, and a final model with significant patient and therapist variables including the organizational stability of the therapists' clinic. Results:... (More)
- Objective: To explore the association between the stability or instability of services' organizational structure and patient- and therapist-initiated discontinuation of therapy in routine mental health. Method: Three groups, comprising altogether 750 cases in routine mental health care in eight different clinics, were included: cases with patient-initiated discontinuation, therapist-initiated discontinuation, and patients remaining in treatment. Multilevel multinomial regression was used to estimate three models: An initial, unconditional intercept-only model, another one including patient variables, and a final model with significant patient and therapist variables including the organizational stability of the therapists' clinic. Results: High between-therapist variability was noted. Odds ratios and significance tests indicated a strong association of organizational instability with patient-initiated premature termination in particular. Conclusions: The question of how organizational factors influence the treatment results needs further research. Future studies have to be designed in ways that permit clinically meaningful subdivision of the patients' and the therapists' decisions for premature termination. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4796270
- author
- Werbart, Andrzej ; Andersson, Hakan and Sandell, Rolf LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- organizational factors, predictors, mental health services research, dropout, outcome research
- in
- Psychotherapy Research
- volume
- 24
- issue
- 6
- pages
- 724 - 737
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000342829500009
- scopus:84908467058
- pmid:24524334
- ISSN
- 1468-4381
- DOI
- 10.1080/10503307.2014.883087
- language
- English
- LU publication?
- yes
- id
- cdd04ebc-6095-485e-98b7-dfa2e67287a0 (old id 4796270)
- date added to LUP
- 2016-04-01 14:04:06
- date last changed
- 2022-03-29 19:01:35
@article{cdd04ebc-6095-485e-98b7-dfa2e67287a0,
abstract = {{Objective: To explore the association between the stability or instability of services' organizational structure and patient- and therapist-initiated discontinuation of therapy in routine mental health. Method: Three groups, comprising altogether 750 cases in routine mental health care in eight different clinics, were included: cases with patient-initiated discontinuation, therapist-initiated discontinuation, and patients remaining in treatment. Multilevel multinomial regression was used to estimate three models: An initial, unconditional intercept-only model, another one including patient variables, and a final model with significant patient and therapist variables including the organizational stability of the therapists' clinic. Results: High between-therapist variability was noted. Odds ratios and significance tests indicated a strong association of organizational instability with patient-initiated premature termination in particular. Conclusions: The question of how organizational factors influence the treatment results needs further research. Future studies have to be designed in ways that permit clinically meaningful subdivision of the patients' and the therapists' decisions for premature termination.}},
author = {{Werbart, Andrzej and Andersson, Hakan and Sandell, Rolf}},
issn = {{1468-4381}},
keywords = {{organizational factors; predictors; mental health services research; dropout; outcome research}},
language = {{eng}},
number = {{6}},
pages = {{724--737}},
publisher = {{Taylor & Francis}},
series = {{Psychotherapy Research}},
title = {{Dropout revisited: Patient- and therapist-initiated discontinuation of psychotherapy as a function of organizational instability}},
url = {{http://dx.doi.org/10.1080/10503307.2014.883087}},
doi = {{10.1080/10503307.2014.883087}},
volume = {{24}},
year = {{2014}},
}