Differences in dropout between diagnoses in child and adolescent mental health services

Johnson, Emily, Mellor, David and Brann, Peter 2008, Differences in dropout between diagnoses in child and adolescent mental health services, Clinical child psychology and psychiatry, vol. 13, no. 4, pp. 515-530, doi: 10.1177/1359104508096767.

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Title Differences in dropout between diagnoses in child and adolescent mental health services
Author(s) Johnson, Emily
Mellor, DavidORCID iD for Mellor, David orcid.org/0000-0001-5007-5906
Brann, Peter
Journal name Clinical child psychology and psychiatry
Volume number 13
Issue number 4
Start page 515
End page 530
Total pages 16
Publisher Sage Publications Ltd.
Place of publication London, England
Publication date 2008-10
ISSN 1359-1045
Keyword(s) diagnostic categories
Summary Dropout from treatment is a significant problem in child and adolescent mental health services, and findings regarding the role of possible contributing factors are inconsistent. It is argued that this inconsistency may be the result of the confounding effects of different definitions of dropout, and different dropout rates for different diagnoses. A file review of 520 new cases over a 12-month period in a large Child and Adolescent Mental Health Service in Melbourne, Australia was performed. Information was collected about the intake, parents, family, child, diagnoses and treatment. A significant relationship was found between diagnosis and dropout rate, with clients experiencing family problems or conduct disorder and ADHD being more likely to dropout, and those experiencing negative life events, anxiety disorders or those not having a diagnosis being less likely to dropout. These findings offer potential directions for services to consider specific strategies for retaining their clients. Possible reasons for these findings, methodological issues and future research directions are discussed.
Language eng
DOI 10.1177/1359104508096767
Field of Research 170106 Health
Socio Economic Objective 920209 Mental Health Services
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, SAGE Publications
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017573

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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