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Individual Therapy Attrition Rates in a Low-Intensity Service: A Comparison of Cognitive Behavioural and Person-Centred Therapies and the Impact of Deprivation

Published online by Cambridge University Press:  19 August 2011

Karra Grant
Affiliation:
Greater Glasgow and Clyde NHS, Scotland
Elizabeth McMeekin
Affiliation:
Greater Glasgow and Clyde NHS, Scotland
Ruth Jamieson
Affiliation:
Greater Glasgow and Clyde NHS, Scotland
Alexandra Fairfull
Affiliation:
Greater Glasgow and Clyde NHS, Scotland
Chris Miller
Affiliation:
Greater Glasgow and Clyde NHS, Scotland
Jim White*
Affiliation:
Greater Glasgow and Clyde NHS, Scotland
*
Reprint requests to Jim White, STEPS Primary Care Mental Health Team, Greater Glasgow and Clyde NHS, Florence St Resource Centre, 26 Florence Street, Glasgow G5 0XY, Scotland. E-mail: [email protected]

Abstract

Background: This paper looks at attrition in relation to deprivation and type of therapy – CBT or person-centred counselling. Method: Case notes of all those referred in a 4-month period (n = 497) were assessed for those who failed to opt-in; those who opted-in but failed to attend first appointment and those who attended first appointment but subsequently dropped-out. Results: Significant numbers failed to opt-in, attend first appointment or dropped out during therapy. There were no differences between CBT and PCT. Those from the most deprived areas were less likely to opt-in. Conclusions: We need to develop better approaches to attracting and maintaining contact with individuals complaining of common mental health problems.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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References

Gilbert, N., Barkham, M., Richards, A. and Cameron, I. (2005). The effectiveness of a primary care mental health service delivering brief psychological interventions. Primary Care Mental Health, 3, 241251.Google Scholar
Ladouceur, R., Gosselin, P. and Laberge, M. (2001). Dropouts in clinical research: do results reported reflect clinical reality? The Behavior Therapist, 24, 4446.Google Scholar
Lefforge, N. L., Donohue, B. and Strada, M. (2007). Improving session attendance in mental health and substance abuse settings: a review of controlled studies. Behaviour Therapy, 38, 122.CrossRefGoogle ScholarPubMed
Scottish Executive (2006). Scottish Index of Multiple Deprivation 2006 General Report. Edinburgh: Scottish Executive National Statistics Publication.Google Scholar
Self, R., Oates, P., Pinnock-Hamilton, T. and Leach, C. (2005). The relationship between social deprivation and unilateral termination (attrition) from psychotherapy at various stages of the health care pathway. Psychology and Psychotherapy, 78, 95111.CrossRefGoogle ScholarPubMed
White, J. (2010). The STEPS model. In Bennett-Levy, J. et al. (Eds.), Oxford Guide to Low Intensity CBT Interventions (pp. 3552). Oxford: Oxford University Press.Google Scholar
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