title: Dropout revisited: patient- and therapist-initiated discontinuation of psychotherapy as a function of organizational instability.
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.
  
  
  METHODS
  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.
authors: a Department of Psychology, Stockholm University , Stockholm, Sweden.
authors: Andrzej
authors: A
authors: Werbart
authors: Håkan
authors: H
authors: Andersson
authors: Rolf
authors: R
authors: Sandell
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006302:Health Services Research / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards*; D008875:Middle Aged; D010352:Patient Dropouts; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000592:standards*; D055815:Young Adult
keywords: dropout; mental health services research; organizational factors; outcome research; predictors