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Related Experiment Videos

Patterns of psychotherapy utilization.

K I Howard1, C V Davidson, M T O'Mahoney

  • 1Institute of Psychiatry, Northwestern Memorial Hospital, Evanston, Ill.

The American Journal of Psychiatry
|June 1, 1989
PubMed
Summary
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A small group of patients drives most outpatient mental health visits. This finding highlights the significant impact of long-term psychotherapy patients on clinical practice and professional perception.

Area of Science:

  • Psychiatry and Mental Health
  • Health Services Research

Background:

  • Epidemiologic research suggests a concentration of outpatient mental health visits among a minority of patients.
  • This patient subgroup significantly influences the practice and perception within mental health professions.

Purpose of the Study:

  • To confirm the disproportionate utilization of outpatient mental health services by a small patient cohort.
  • To quantify the session load of long-term psychotherapy patients in a clinical setting.

Main Methods:

  • Analysis of 405 patient records in a clinical setting focused on long-term psychotherapy.
  • Categorization of patients based on the number of psychotherapy sessions attended (≤26 vs. >26).

Main Results:

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  • A significant portion of patients (68%) utilized 26 or fewer psychotherapy sessions, accounting for only 23.3% of total sessions.
  • A smaller group of patients (32%) attended more than 26 sessions, consuming 77% of all psychotherapy sessions.
  • Conclusions:

    • The study validates the principle that a small minority of patients account for the majority of outpatient mental health visits.
    • Long-term psychotherapy patients represent a substantial and disproportionate component of clinical practice, impacting resource allocation and professional experience.