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Related Experiment Videos

Are dropouts, dropouts?

W H Silverman, R P Beech

    Journal of Community Psychology
    |June 11, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Client perceptions of community mental health services were studied. Most clients were satisfied and felt their problems improved, even after one visit, indicating successful outcomes beyond continued treatment.

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    Area of Science:

    • Mental Health Services Research
    • Healthcare Management
    • Psychiatry

    Background:

    • Understanding client experiences in community mental health centers is crucial for service improvement.
    • Client termination, often termed 'dropout,' requires examination to identify factors influencing satisfaction and outcomes.
    • Previous research often views unilateral termination as a system or client failure.

    Purpose of the Study:

    • To examine the perceptions of clients who unilaterally terminated their visits to a community mental health center.
    • To assess factors contributing to client satisfaction, perceived helpfulness, and problem resolution.
    • To understand the impact of community mental health centers on clients who do not complete their treatment plan.

    Main Methods:

    • A telephone survey was conducted with 47 clients who unilaterally terminated services.

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  • Data collected included client satisfaction, impressions of setting and therapist, visit helpfulness, service expectations versus receipt, and problem solution sources.
  • Statistical analysis explored relationships between variables like satisfaction, expectations, and center impact.

    • Main Results:

    • Seventy percent of respondents reported satisfaction with services received.
    • Nearly 80% of clients perceived an improvement in their problems.
    • Client satisfaction was linked to positive perceptions of the setting, therapist, visit helpfulness, and perceived improvement due to center contact.

    Conclusions:

    • Unilateral client termination from mental health services is not necessarily a failure of the client or the system.
    • Clients can derive significant benefit from even a single session or alternative support systems.
    • Community mental health centers can have a positive impact, influencing client satisfaction, expectations, and perceived problem resolution.