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社区心理健康中心早期门诊终止治疗的问题:这是谁的问题?

The problem of early outpatient terminations from community mental health centers: a problem for whom?

作者信息

Littlepage G E, Kosloski K D, Schnelle J F, McNees M P, Gendrich J C

出版信息

J Community Psychol. 1976 Apr;4(2):164-7. doi: 10.1002/1520-6629(197604)4:2<164::aid-jcop2290040211>3.0.co;2-2.

DOI:10.1002/1520-6629(197604)4:2<164::aid-jcop2290040211>3.0.co;2-2
PMID:10243935
Abstract

This study examined the relationship between the number of client contacts with a mental health center and the client's evaluation of the services. Responses to 3 structured ratings of the center's services and free response comments were obtained from 130 former outpatients. None of the structured evaluation ratings was related to the number of contacts, but clients with several contacts were more negative in their free response comments. In addition, clients who had dropped out of therapy evaluated services as highly as clients whose therapy reached a normal termination. These results question the traditional assumptions that early terminations usually occur because of client dissatisfaction and represent treatment failures.

摘要

本研究考察了心理健康中心与来访者的接触次数和来访者对服务的评价之间的关系。从130名 former outpatients(此处可能有误,推测为“前门诊患者”)处获得了对该中心服务的3项结构化评分的回复以及自由作答评论。结构化评估评分中没有一项与接触次数相关,但有几次接触的来访者在自由作答评论中更为负面。此外,退出治疗的来访者对服务的评价与治疗正常结束的来访者一样高。这些结果对传统假设提出了质疑,即早期终止通常是因为来访者不满意,代表着治疗失败。

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引用本文的文献

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A multivariate analysis of dropout status by length of stay in a rural community mental health center.
Community Ment Health J. 1987 Spring;23(1):40-52. doi: 10.1007/BF00752823.