Mining treatment termination data in an adolescent mental health service: A quantitative study

Diane M. Mirabito

    Research output: Contribution to journalArticle

    Abstract

    This study utilizes available clinical information from client records to explore patterns of termination from mental health treatment among adolescents at an urban outpatient mental health center. The analysis focuses on how and why adolescents terminate from treatment and identifies variables associated with "acknowledged" and "unacknowledged" terminations. Findings indicate that termination was acknowledged infrequently, often a brief process that occurred almost as frequently by telephone as in the context of treatment. Contrary to "practice wisdom" concerning treatment termination, adolescents who "dropped out" without a "clinical process" reported considerably more engagement in treatment than those who acknowledged the termination of treatment. Recommendations for a more "open door" policy and a more flexible practice with adolescents are discussed.

    Original languageEnglish (US)
    Pages (from-to)71-90
    Number of pages20
    JournalSocial Work in Health Care
    Volume33
    Issue number3-4
    DOIs
    StatePublished - Dec 1 2001

    Fingerprint

    Adolescent Health Services
    Mental Health Services
    Mental Health
    Therapeutics
    Telephone
    Outpatients

    Keywords

    • Inner-city adolescents
    • Termination from mental health treatment
    • Treatment dropout

    ASJC Scopus subject areas

    • Community and Home Care
    • Psychiatry and Mental health

    Cite this

    Mining treatment termination data in an adolescent mental health service : A quantitative study. / Mirabito, Diane M.

    In: Social Work in Health Care, Vol. 33, No. 3-4, 01.12.2001, p. 71-90.

    Research output: Contribution to journalArticle

    @article{745b2344f13248f989c270ed491c54cd,
    title = "Mining treatment termination data in an adolescent mental health service: A quantitative study",
    abstract = "This study utilizes available clinical information from client records to explore patterns of termination from mental health treatment among adolescents at an urban outpatient mental health center. The analysis focuses on how and why adolescents terminate from treatment and identifies variables associated with {"}acknowledged{"} and {"}unacknowledged{"} terminations. Findings indicate that termination was acknowledged infrequently, often a brief process that occurred almost as frequently by telephone as in the context of treatment. Contrary to {"}practice wisdom{"} concerning treatment termination, adolescents who {"}dropped out{"} without a {"}clinical process{"} reported considerably more engagement in treatment than those who acknowledged the termination of treatment. Recommendations for a more {"}open door{"} policy and a more flexible practice with adolescents are discussed.",
    keywords = "Inner-city adolescents, Termination from mental health treatment, Treatment dropout",
    author = "Mirabito, {Diane M.}",
    year = "2001",
    month = "12",
    day = "1",
    doi = "10.1300/J010v33n03_06",
    language = "English (US)",
    volume = "33",
    pages = "71--90",
    journal = "Social Work in Health Care",
    issn = "0098-1389",
    publisher = "Routledge",
    number = "3-4",

    }

    TY - JOUR

    T1 - Mining treatment termination data in an adolescent mental health service

    T2 - A quantitative study

    AU - Mirabito, Diane M.

    PY - 2001/12/1

    Y1 - 2001/12/1

    N2 - This study utilizes available clinical information from client records to explore patterns of termination from mental health treatment among adolescents at an urban outpatient mental health center. The analysis focuses on how and why adolescents terminate from treatment and identifies variables associated with "acknowledged" and "unacknowledged" terminations. Findings indicate that termination was acknowledged infrequently, often a brief process that occurred almost as frequently by telephone as in the context of treatment. Contrary to "practice wisdom" concerning treatment termination, adolescents who "dropped out" without a "clinical process" reported considerably more engagement in treatment than those who acknowledged the termination of treatment. Recommendations for a more "open door" policy and a more flexible practice with adolescents are discussed.

    AB - This study utilizes available clinical information from client records to explore patterns of termination from mental health treatment among adolescents at an urban outpatient mental health center. The analysis focuses on how and why adolescents terminate from treatment and identifies variables associated with "acknowledged" and "unacknowledged" terminations. Findings indicate that termination was acknowledged infrequently, often a brief process that occurred almost as frequently by telephone as in the context of treatment. Contrary to "practice wisdom" concerning treatment termination, adolescents who "dropped out" without a "clinical process" reported considerably more engagement in treatment than those who acknowledged the termination of treatment. Recommendations for a more "open door" policy and a more flexible practice with adolescents are discussed.

    KW - Inner-city adolescents

    KW - Termination from mental health treatment

    KW - Treatment dropout

    UR - http://www.scopus.com/inward/record.url?scp=0035701126&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=0035701126&partnerID=8YFLogxK

    U2 - 10.1300/J010v33n03_06

    DO - 10.1300/J010v33n03_06

    M3 - Article

    C2 - 11837364

    AN - SCOPUS:0035701126

    VL - 33

    SP - 71

    EP - 90

    JO - Social Work in Health Care

    JF - Social Work in Health Care

    SN - 0098-1389

    IS - 3-4

    ER -