Early dropout from psychotherapy for depression with group- and network-model therapists

Published: November 1, 2012
Category: Bibliography > Papers
Authors: Ding V, Fishman P, Hubbard R, Ludman E, Morales L, Operskalski B, Savarino J, Simon GE
Countries: United States
Language: null
Types: Population Health
Settings: Hospital

Adm Policy Ment Health 39:440-447.

Group Health Research Institute, Seattle, WA, USA

Administrative data were used to examine early dropout among 16,451 health plan members calling to request psychotherapy for depression. Compared to members referred to group-model therapists, those referred to network-model therapists were more likely to drop out before the initial visit (OR 2.33, 95% CI 2.17-2.50) but less likely to drop out after the first visit (OR 0.45, 95% CI 0.43-0.48). These differences were unaffected by adjustment for neighborhood income and educational attainment, antidepressant use, or generosity of insurance coverage. Efforts to increase the effectiveness of psychotherapy may required different strategies in group- and network-model practice.

PMID: 21710256
PMCID: PMC3708590

Population Markers,Medical Conditions,Practice Patterns Comparison,United States,Adolescent,Adult,Aged,Delivery of Health Care/organization & administration,Gender,Health Personnel/statistics & numerical data,Idaho,Insurance Coverage,Insurance,Health,Mental Health Services/organization & administration,Patient Compliance/statistics & numerical data,Washington

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