Clinical, sociodemographic, and systems risk factors for attrition in a children's mental health clinic.
Abstract
Clinical, sociodemographic, and systems risk factors for attrition at a child guidance clinic were identified. All patients who completed the intake process were followed through various clinic phases. Lower socioeconomic status and low family cohesion predicted dropout. Dropouts and continuers were equally psychiatrically impaired. The Family Environment Scale was the only standardized measure that distinguished between dropouts and continuers.
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Estimated prevalence of dropout varies from 15 to 60% and is even higher among young people, particularly in the age group of 15-24 years.
“Estimated prevalence varies from 15 to 60 % [3–6] and is even higher among young people [4, 7–9], particularly in the age group of 15–24 years [4].”
From Determinants of dropout in a community-based mental health crisis centre (2016) · cites this paper as [8]
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- Authors
- Armbruster, P., & Fallon, T.
- Affiliations
- Yale University (US)
- Venue
- American Journal of Orthopsychiatry
- Published
- 1994
- Volume
- 64
- Issue
- 4
- Pages
- 577-585
- ISSN
- 0002-9432 (ISSN-L)
- 1939-0025
- OpenAlex
- W1967911575
- Cited by
- 155
- References
- 28
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 8 · 2015: 7 · 2014: 9 · 2013: 4 · 2012: 10
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Orthopsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- treatment discontinuation, child guidance clinics, dropout, socioeconomic status, family cohesion, Family Environment Scale, child mental health, risk factors, continuity of care, psychiatric disability
- MeSH terms
- Adolescent, Child, Child Behavior Disorders, Child Guidance Clinics, Child, Preschool, Connecticut, Family, Family Characteristics, Female, Humans, Infant, Internal-External Control, Male, Patient Dropouts, Professional-Family Relations, Referral and Consultation, Risk Factors, Social Environment, Socioeconomic Factors, Life Tables
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