RESUMEN
Two hundred and eight adults who requested outpatient treatment at a community mental health center were asked to complete brief questionnaires immediately prior to and after their first therapy session. Questionnaires contained items that pertained to self-predicted length of stay in psychotherapy, situational barriers to regular attendance, and past behavior in similar situations (e.g., appointment-keeping with other health care professionals). Therapists also were asked to make predictions with regard to client length of stay. Questionnaire data were analyzed via a series of double cross-validated multiple regression and discriminant function equations, and results indicated that client and therapist predictions of length of stay in therapy were the most stable and consistent correlates of attendance behavior.
Asunto(s)
Centros Comunitarios de Salud Mental/estadística & datos numéricos , Trastornos Mentales/terapia , Pacientes Desistentes del Tratamiento/psicología , Adulto , Femenino , Humanos , Tiempo de Internación , Masculino , Psicoterapia , Autoevaluación (Psicología) , Encuestas y CuestionariosRESUMEN
Tested the hypothesis that two brief pre-discharge interventions would improve transfer success for psychiatric inpatients discharged to an outpatient community aftercare program. Seventy-four inpatients viewed one of three videotapes designed to: (1) provide programmatic information about follow-up clinics; (2) shape accurate expectations for outpatient therapy; or (3) provide non-specific emphasis to the importance of aftercare. A baseline group also was employed. As hypothesized, posttest questionnaires showed that experimental Ss had significantly more knowledge of the follow-up program and greater congruence of therapy expectations. A generalized behavioral effect also occurred; the two experimental groups had a higher rate of transfer success (82%) than the controls (59%). No differences in therapy persistence were observed. These findings suggest that mental health centers might improve transfer success by providing inpatients with detailed information about community aftercare programs.
Asunto(s)
Cuidados Posteriores/psicología , Trastornos Mentales/terapia , Pacientes Desistentes del Tratamiento/psicología , Adulto , Servicios Comunitarios de Salud Mental , Femenino , Estudios de Seguimiento , Humanos , Masculino , Educación del Paciente como Asunto , Disposición en PsicologíaRESUMEN
Rated 200 clients who were attending a community mental health center outpatient clinic immediately after the initial therapy session. Therapist ratings consisted of a 21-item scale that included descriptions of client behavior during the session and estimates of client duration of stay. In a sample comprised of the first 100 clients, a variety of items from the scale and client demographic variables were related significantly to subsequent attendance. A multiple regression equation derived from these data generated statistically significant predictions with regard to stay in the second sample of 100 clients.
Asunto(s)
Trastornos Mentales/terapia , Pacientes Desistentes del Tratamiento/psicología , Psicoterapia , Atención Ambulatoria , Actitud , Centros Comunitarios de Salud Mental , Humanos , Derivación y Consulta , RiesgoRESUMEN
Adults who requested outpatient psychotherapy completed a pretreatment questionnaire after admission and a posttreatment questionnaire immediately after the first therapy session. Questionnaire items concerned the client's situation at the time of the request for treatment (e.g., distance travelled to the clinic), past behavior in fulfilling commitments, self-prediction of session attendance, and reaction to the initial interview. Five items were related significantly to continuation in two separate S samples. A critical response scale comprised of 14 items and responses proved highly predictive of the number of treatment sessions attended in both initial (N = 78) and cross-validational groups (N = 91).