title: Early dropout from psychotherapy for depression with group- and network-model therapists.
abstract: Administrative data were used to examine early dropout among 16,451 health plan members calling to request psychotherapy for depression. Compared to members referred to group-model therapists, those referred to network-model therapists were more likely to drop out before the initial visit (OR 2.33, 95% CI 2.17-2.50) but less likely to drop out after the first visit (OR 0.45, 95% CI 0.43-0.48). These differences were unaffected by adjustment for neighborhood income and educational attainment, antidepressant use, or generosity of insurance coverage. Efforts to increase the effectiveness of psychotherapy may required different strategies in group- and network-model practice.
authors.affiliation: Group Health Research Institute, 1730 Minor Ave. #1600, Seattle, WA 98101, USA. simon.g@ghc.org
authors.forename: Gregory E
authors.initials: GE
authors.lastname: Simon
authors.forename: Victoria
authors.initials: V
authors.lastname: Ding
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hubbard
authors.forename: Paul
authors.initials: P
authors.lastname: Fishman
authors.forename: Evette
authors.initials: E
authors.lastname: Ludman
authors.forename: Leo
authors.initials: L
authors.lastname: Morales
authors.forename: Belinda
authors.initials: B
authors.lastname: Operskalski
authors.forename: James
authors.initials: J
authors.lastname: Savarino
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003695:Delivery of Health Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D003863:Depression / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D007061:Idaho; D019458:Insurance Coverage; D007348:Insurance, Health; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D011613:Psychotherapy / Q000706:statistics & numerical data*; D014861:Washington