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Not started and unilaterally terminated therapies in the Swedish public health services
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2012 (English)In: Abstracts, 2012, 73-73 p.Conference paper (Other academic)
Abstract [en]

Aims: This naturalistic study examines potential predictors of treatment attendance and discontinuation among patients in the three most common psychotherapy types in Swedish public health service settings. Patients who did not start psychotherapy after initial assessment are compared with patients who started psychotherapy. Patients who discontinued psychotherapy are compared with those remaining in treatment. Furthermore, we differentiate between patient-initiated and therapist-initiated not started and unilaterally terminated therapies. Methods: Data were collected over a 3-year period at 13 outpatient psychiatric clinics, using online patient and therapist questionnaires. Multiple logistic regression and chi-squared automatic interaction detection procedure were used to identify predictors. Results: Of the 1,498 registered patients 14% never started psychotherapy, 17% dropped out from treatment, 33% continued in treatment, while 36% dropped out from data collection. More patients had been given the recommendation of no or another type of treatment (9%) as patients applying for but never starting psychotherapy (5%). The discontinuation of treatment was initiated by the patient in 10% and by the therapist in 7% of cases. Significantly more nonstarters and dropouts were found at clinics with lower levels of organizational structure and stability. Discussion: Organizational factors (such as clarity and transparency, adaptation to therapeutic treatment, decision making, treatment policy and guidelines, and general stability) predicted both starting and continuing in treatment. The impact of organizational factors on treatment drop-out has probably not been sufficiently recognized by clinicians and researchers.

Place, publisher, year, edition, pages
2012. 73-73 p.
Keyword [en]
naturalistic study, dropouts, organizational factors, process-outcome, patient/client factors, therapist factors
National Category
Research subject
URN: urn:nbn:se:su:diva-85661OAI: diva2:584210
The Society for Psychotherapy Research 43th Annual International Meeting, Virginia Beach, VA, USA, 22 June 2012
Available from: 2013-01-08 Created: 2013-01-08

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Werbart, Andrzej
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Department of Psychology

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ReferencesLink to record
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