PREVENTING TREATMENT ATTRITION IN CHILD THERAPY

描述（改编自申请人？s摘要）：从心理学中辍学 卫生服务是儿童及其家庭面临的一个重大问题， 40-60%的开始心理健康治疗的人过早终止。 心理治疗引起的焦虑是一个引起双方广泛关注的问题。 研究和临床实践，并往往导致不利的方法， 临床和财务结果。先前关于治疗损耗的工作 主要集中在确定治疗前预测辍学，并已 一般未能解决为什么家庭终止治疗的问题， 过早或制定有效的计划，以减少率 消耗本研究项目的主要目标是从理论上验证一种 在115名有攻击性和 反社会儿童及其家人在大学寻求治疗 门诊本研究将采用随机对照设计 并将评估与治疗损耗和参与相关的因素， 以及治疗进展。的具体目标 本项目将（1）检查预防计划是否降低了 （2）增加治疗参与，（3）检查 该计划是否会导致更好的治疗进展，以及（3）检查 父母是否有变化？对“治疗障碍”的看法（例如， 压力源、障碍）将预测损耗。该项目将扩大 目前的研究在几个方面的流失，并将提供重要的数据 关于自然减员的机制，以及 这些技术可能有助于减少儿童治疗的损耗。

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.