PREVENTING TREATMENT ATTRITION IN CHILD THERAPY

描述(改编自申请者？S摘要)：精神上的辍学 卫生服务对儿童及其家庭来说是一个重大问题，因为 开始心理健康治疗的人中有40%-60%的人提前终止治疗。 心理治疗造成的人员流失问题引起了双方的广泛关注。 研究和临床实践，并经常导致不利的方法学， 临床和财务结果。以前关于治疗中的磨损的工作已经完成 主要专注于确定治疗前辍学的预测因素，并已 普遍未能解决家庭为什么终止治疗的问题 过早或制定有效的方案来降低 自然减员。本研究项目的主要目的是从理论上检验一个 在115名积极和积极的员工中制定了知情的人员流失预防计划 反社会儿童和他们的家人在一所大学寻求治疗 门诊部。本研究将采用随机对照设计。 并将评估与治疗自然减员和参与有关的因素，如 以及整个研究期间的治疗进展。的具体目标 该项目的目的是(1)检查预防计划是否降低了 治疗的损耗和增加治疗的参与度，(2)检查 该计划是否会带来更好的治疗进展，以及(3)检查 父母是否会发生变化？对“治疗障碍”的看法(例如， 压力源、障碍)将预测自然减员。该项目将延长 目前对磨损的研究有几种方式，并将提供重要的数据 有关自然减员的机制，以及有关 可能有助于减少儿童治疗的自然减少率的技术。

DESCRIPTION (Adapted from the Applicant?s Abstract): Dropping out of mental health services is a significant problem for children and their families, as 40-60% of those who begin mental health treatment terminate prematurely. Attrition from psychotherapy is an issue that raises broad concerns for both research and clinical practice, and often leads to adverse methodological, clinical, and financial outcomes. Previous work on attrition from treatment has focused primarily on identifying pre-treatment predictors of dropout, and has generally failed to address the question of why families terminate treatment prematurely or to develop effective programs for reducing the rate of attrition. The main goal of this research project is to test a theoretically informed attrition prevention program in a sample of 115 aggressive and antisocial children and their families seeking treatment at a university-based outpatient clinic. The present study will use a randomized, controlled design and will assess factors related to treatment attrition and participation, as well as therapeutic progress, throughout the study period. The specific aims of this project are to (1) examine if the prevention program decreases the rate of attrition from treatment and increases treatment participation, (2) examine whether the program leads to better therapeutic progress, and (3) examine whether changes in parents? perceptions of "barriers-to-treatment" (e.g., stressors, obstacles) will predict attrition. This project will extend the current research on attrition in several ways, and will provide important data about the mechanisms involved in attrition, as well as information about techniques that may be useful in reducing attrition from child therapy.