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Related Experiment Videos

Initial contact and engagement in psychotherapy.

S B Noel1, K I Howard

  • 1University of Wisconsin-Milwaukee.

Journal of Clinical Psychology
|September 1, 1989
PubMed
Summary

Patients seeing the same therapist for screening and treatment were more likely to attend their first appointment. However, those seeing different clinicians for screening and therapy were more likely to continue treatment beyond eight sessions.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Healthcare Management

Background:

  • Patient engagement in psychotherapy is crucial for treatment success.
  • The initial contact with a mental health service can influence treatment adherence.
  • Understanding factors affecting patient retention is vital for optimizing mental healthcare delivery.

Purpose of the Study:

  • To investigate whether the initial screening clinician impacts patient engagement in psychotherapy.
  • To determine if the treating therapist conducting the screening influences subsequent treatment adherence.
  • To compare treatment completion rates based on whether the screening clinician is the same as the treating therapist.

Main Methods:

  • A cohort of 418 patients accepted for individual psychotherapy was analyzed.
  • Patients were divided into two groups: same clinician for screening and therapy, or different clinicians.
  • Chi-square analysis was employed to compare treatment continuation beyond eight sessions.

Main Results:

  • A higher proportion of patients who had the same clinician for screening and therapy attended their next appointment.
  • Conversely, patients who saw a different clinician for screening and therapy demonstrated higher rates of continuing psychotherapy beyond eight sessions.
  • The initial screening process appears to have differential effects on short-term versus longer-term treatment engagement.

Conclusions:

  • The choice of clinician for the initial screening interview influences patient engagement differently at various stages of psychotherapy.
  • Assigning the same clinician for screening and therapy may enhance initial appointment attendance.
  • Utilizing different clinicians for screening and therapy might be associated with greater long-term treatment adherence.

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