Mining treatment termination data in an adolescent mental health service: a quantitative study.
This study utilizes available clinical information from client records to explore patterns of termination from mental health treatment among adolescents at an urban outpatient mental health center. The analysis focuses on how and why adolescents terminate from treatment and identifies variables associated with "acknowledged" and "unacknowledged" terminations. Findings indicate that termination was acknowledged infrequently, often a brief process that occurred almost as frequently by telephone as in the context of treatment. Contrary to "practice wisdom" concerning treatment termination, adolescents who "dropped out" without a "clinical process" reported considerably more engagement in treatment than those who acknowledged the termination of treatment. Recommendations for a more "open door" policy and a more flexible practice with adolescents are discussed.
Mirabito
D M
DM
New York University Ehrenkranz School of Social Work, New York 10003-6654, USA.
D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology*; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D000328:Adult; D003155:Community Mental Health Centers / Q000706:statistics & numerical data*; D003625:Data Collection; D005260:Female; D019538:Health Care Surveys; D006302:Health Services Research; D006801:Humans; D007325:Institutional Practice; D008297:Male; D009042:Motivation; D009519:New York City; D010347:Patient Care Planning; D010351:Patient Discharge / Q000706:statistics & numerical data*; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012949:Social Work, Psychiatric; D019037:Urban Health Services / Q000706:statistics & numerical data*