Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
International Journal of Mental Health and Addiction
Published in: International Journal of Mental Health and Addiction 4/2009

01-10-2009

Client/Clinician Discrepancies in Perceived Problem Improvement and the Potential Influence on Dropout Response

Authors: Justin Pulford, Peter Adams, Janie Sheridan

Published in: International Journal of Mental Health and Addiction | Issue 4/2009

Login to get access

Abstract

This paper examines the possibility that clinicians working in an alcohol and other drug (AOD) treatment service may lack appreciation of problem improvement in clients who choose to dropout against clinical advice. Underlying this investigation is the belief that if clinicians are indeed unperceptive of problem improvement amongst this population then this may explain why retention based responses to client dropout continue to be promoted, despite evidence to suggest that they are ineffective and/or unnecessary. Outcome data obtained from a sample of 75 AOD treatment clients and their respective clinicians at baseline and 2-month follow-up are reported. Analysis of these data suggest a client/clinician discrepancy in perceived problem improvement was evident in the study setting: clinicians reported significantly less problem improvement in the first 2 months of service attendance as compared to their clients and this discrepancy was most pronounced if the client had dropped out of treatment.
Literature
Adamson, S. J., Sellman, D., & De Zwart, K. (2004). National Telephone Survey of the Alcohol and Drug Workforce. Paper presented at the Cutting Edge National Addiction Conference, Palmerston North.
Andreasson, S., & Ojehagen, A. (2003). Psychosocial treatment for alcohol dependence. In M. Berglund, S. Thelander & E. Jonsson (Eds.), Treating Alcohol and Drug Abuse: An Evidence Based Review (pp. 43–188). Weinheim: Wiley-VCH.CrossRef
Dench, S., & Bennett, G. (2000). The impact of brief motivational intervention at the start of an outpatient day programme for alcohol dependence. Behavioural and Cognitive Psychotherapy, 28(2), 121–130.
Edlund, M. J., Wang, P. S., Berglund, P. A., Katz, S. J., Lin, E., & Kessler, R. C. (2002). Dropping out of mental health treatment: patterns and predictors among epidemiological survey respondents in the United States and Ontario. American Journal of Psychiatry, 159(5), 845–851.CrossRefPubMed
Garfield, S. L. (1994). Research on Client Variables in Psychotherapy. In A. E. Bergen & S. L. Garfield (Eds.), Handbook of Psychotherapy and Behavior Change (Fourth ed., pp. 190–228). New York: John Wiley & Sons, Inc.
Gariti, P., Alterman, A. I., Holub-Beyer, E., Volpicelli, J. R., Prentice, N., & O’Brien, C. P. (1995). Effects of an appointment reminder call on patient show rates. Journal of Substance Abuse Treatment, 12(3), 207–212.CrossRefPubMed
Hatchett, G. T., & Park, H. L. (2003). Comparison of four operational definitions of premature termination. Psychotherapy: Theory, Research, Practice, Training, 40(3), 226–231.CrossRef
Hunsley, J., Aubry, T. D., Erstervelt, C. M., & Vito, D. (1999). Comparing therapist and client perspectives on reasons for psychotherapy termination. Psychotherapy, 36(4), 380–388.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976.CrossRefPubMed
Moyer, A., Finney, J. W., Swearingen, C. E., & Vergun, P. (2002). Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction, 97(3), 279–292.CrossRefPubMed
Ogrodniczuk, J. S., Joyce, A. S., & Piper, W. E. (2005). Strategies for Reducing Patient Initiated Premature Termination of Psychotherapy. Harvard Review of Psychiatry, 13(2), 57–70.CrossRefPubMed
Pekarik, G. (1985a). Coping with dropouts. Professional Psychology: Research & Practice, 16(1), 114–123.CrossRef
Pekarik, G. (1985b). The effects of employing different termination classification criteria in dropout research. Psychotherapy, 22(Spring), 87–91.
Pekarik, G. (1992). Relationship of clients’ reasons for dropping out of treatment to outcome and satisfaction. Journal of Clinical Psychology, 48(1), 91–98.CrossRefPubMed
Petry, N. M., Martin, B., Cooney, J. L., & Kranzler, H. R. (2000). Give them prizes, and they will come: contingency management for treatment of alcohol dependence. Journal of Consulting and Clinical Psychology, 68(2), 250–257.CrossRefPubMed
Phillips, E. L. (1985). Psychotherapy Revised: New Frontiers in Research and Practice. Hillsdale: Lawrence Erlbaum Associates.
Presley, J. H. (1987). The clinical dropout: a view from the client’s perspective. Social Casework: The Journal of Contemporary Social Work, 603–608.
Pulford, J., Adams, P., & Sheridan, J. (2006). Unilateral treatment exit: a failure of retention or a failure of treatment fit? Substance Use & Misuse, 41(14), 1901–1920.CrossRef
Pulford, J., & Wheeler, A. (2007). Documenting client attendance norms: raw data and implications for treatment practice. Journal of Substance Use, 12(2), 95–102.CrossRef
Scamardo, M., Bobele, M., & Biever, J. L. (2004). A new perspective on client dropouts. Journal of Systemic Therapies, 23(2), 27–38.CrossRef
Silverman, W. H., & Beech, R. P. (1979). Are dropouts, dropouts? Journal of Community Psychology, 7(3), 236–242.CrossRefPubMed
Simpson, D. D., Joe, G. W., & Brown, B. S. (1997). Treatment retention and follow-up outcomes in the Drug Abuse Treatment Outcome Study (DATOS). Psychology of Addictive Behaviors, 11(4), 294–307.CrossRef
Sobell, M. B., & Sobell, L. C. (2000). Stepped care as a heuristic approach to the treatment of alcohol problems. Journal of Consulting and Clinical Psychology, 68(4), 573–579.CrossRefPubMed
Zwick, R., & Attkisson, C. C. (1985). Effectiveness of a client pretherapy orientation videotape. Journal of Counseling Psychology, 32(4), 514–524.CrossRef
Metadata
Title
Client/Clinician Discrepancies in Perceived Problem Improvement and the Potential Influence on Dropout Response
Authors
Justin Pulford
Peter Adams
Janie Sheridan
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
International Journal of Mental Health and Addiction / Issue 4/2009
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-007-9116-2

Other articles of this Issue 4/2009

International Journal of Mental Health and Addiction 4/2009 Go to the issue

OriginalPaper

The Psychological Study of Video Game Players: Methodological Challenges and Practical Advice

OriginalPaper

Canadian Dream, Capitalism, and the State: Structural Conditions of Youth Gambling in Canada

Announcement

What is recovery? Revisiting the Betty Ford Institute Consensus Panel Definition

OriginalPaper

Exploring the Impact of Gambling Advertising: An Interview Study of Problem Gamblers

OriginalPaper

Programma Conoscenza: Psycho-Educational, Integrated and Evolved Treatment for Cocaine Addiction

Report

Excessive use of Massively Multi-Player Online Role-Playing Games: A Pilot Study