title: Psychotherapy dropouts: differences by modality, license, and DSM-IV diagnosis.
abstract: Dropouts are frequent in mental health care. Several client factors have been identified as dropout predictors, including ethnic minority status, race, low SES, and more severe symptoms. Research on therapist and process variables is less common, and findings are inconsistent. This study used administrative data for 434,317 patients from CIGNA Behavioral Health (CIGNA) to examine dropout rates by profession of provider, therapy modality, and DSM-IV diagnosis. Results indicate that among the providers, MFTs have the lowest dropout rates in the CIGNA network. Of the therapy modalities, individual therapy is associated with lower dropout rates than family therapy. Mood and anxiety disorders have lower dropout rates than other diagnosis categories, while schizophrenia, psychotic, and substance use disorders have the highest dropout rates.
authors: Brigham Young University, Pravo, Utah 84602, USA. slh64@byu.net
authors: Stacy
authors: S
authors: Hamilton
authors: Adam M
authors: AM
authors: Moore
authors: D Russell
authors: DR
authors: Crane
authors: Scott H
authors: SH
authors: Payne
mesh_terms: D001007:Anxiety / Q000628:therapy; D003156:Community Mental Health Services / Q000639:trends; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008004:Licensure / Q000639:trends; D008137:Longitudinal Studies; D008297:Male; D017063:Outcome Assessment, Health Care / Q000639:trends; D010352:Patient Dropouts / Q000523:psychology*; D011613:Psychotherapy; D012189:Retrospective Studies; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy