Silverman W H, Beech R P
J Community Psychol. 1979 Jul;7(3):236-42. doi: 10.1002/1520-6629(197907)7:3<236::aid-jcop2290070307>3.0.co;2-b.
In this study, the perceptions of unilateral terminators, "dropouts," of their visit to a community mental health center were examined. A telephone survey was conducted to assess client satisfaction, impressions of the setting and therapist, helpfulness of the visit, expectations of and reported services received, and source and degree of problem(s) solution. Forty-seven respondents participated in the survey. Seventy percent were satisfied with the service they received. Satisfaction was related to favorable perceptions of the setting, the therapist, helpfulness of the visit, and whether improvement was due to contact with the center. Almost 80% of the respondents reported their problems had improved. Expectations of services to be rendered were generally met. Meeting of expectations was related to client satisfaction and perceived helpfulness but not to problem solution. Center impact was related to client satisfaction, mode of entry, meeting of clients' expectations, and number of services received. The study suggests that unilateral client termination is not a failure of the client or the intervention system. Clients can benefit from one session, use alternative sources of assistance, or be affected by environmental changes.
在本研究中，对单方面终止治疗者（即“退出者”）对其前往社区心理健康中心就诊的看法进行了调查。通过电话调查来评估客户满意度、对机构环境和治疗师的印象、就诊的帮助程度、对所接受服务的期望及报告、以及问题解决的来源和程度。47名受访者参与了该调查。70%的人对他们所接受的服务感到满意。满意度与对机构环境、治疗师、就诊帮助程度的良好看法以及改善是否归因于与该中心的接触有关。近80%的受访者报告称他们的问题有所改善。对所提供服务的期望总体上得到了满足。期望的达成与客户满意度和感知到的帮助程度有关，但与问题解决无关。中心的影响与客户满意度、进入方式、客户期望的达成以及所接受服务的数量有关。该研究表明，客户单方面终止治疗并非客户或干预系统的失败。客户可以从一次就诊中受益，利用其他援助来源，或受到环境变化的影响。
