Larsen D L, Nguyen T D, Green R S, Attkisson C C
Community Ment Health J. 1983 Winter;19(4):305-20. doi: 10.1007/BF00755411.
This article describes two sets of field studies undertaken by the program evaluation unit of a community mental health center. These studies analyzed clients' utilization of service and assessed service impact in the process of testing procedural variations in service delivery. In the first set of studies, a procedure for ensuring verbal client-therapist contact prior to the first appointment was developed and tested. This procedure reduced the no-show rate for initial appointments from 22 to 12%. In the second set of studies, a brief pretherapy orientation nearly eliminated dropout during the first month of therapy. Orientation had both short- and long-range impact on the amount of services used by clients as well as on their outcomes. Therapist's global ratings of client functioning reflected more change for oriented clients, who reported greater short-term symptom reduction as well. Non-oriented clients were more likely to drop out early and to impress their therapists less favorably. The results of these studies suggest that a combination of pretherapy orientation and verbal client-therapist contact prior to the initial appointment might greatly reduce the failure to complete treatment.
本文介绍了一个社区心理健康中心的项目评估部门进行的两组实地研究。这些研究分析了客户对服务的利用情况，并在测试服务提供过程中的程序变化时评估了服务效果。在第一组研究中，开发并测试了一种在首次预约前确保客户与治疗师进行口头联系的程序。该程序将首次预约的爽约率从22%降低到了12%。在第二组研究中，一次简短的治疗前指导几乎消除了治疗第一个月期间的退出率。指导对客户使用服务的数量以及他们的治疗结果都有短期和长期的影响。治疗师对客户功能的总体评价显示，接受指导的客户有更多变化，这些客户也报告短期症状减轻得更多。未接受指导的客户更有可能早早退出，给治疗师留下的印象也更差。这些研究结果表明，治疗前指导与首次预约前客户与治疗师的口头联系相结合，可能会大大减少治疗未完成的情况。
