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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 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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Metadata
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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