Stacy Hamilton, MS, Adam M. Moore, MMFT, and Scott H. Payne, MS, are doctoral students; D. Russell Crane, PhD, is a Professor of Marriage and Family Therapy, School of Family Life, Brigham Young University.
Psychotherapy dropouts: Differences by modality, license, and DSM-IV diagnosis
Article first published online: 28 APR 2010
© 2011 American Association for Marriage and Family Therapy
Journal of Marital and Family Therapy
Volume 37, Issue 3, pages 333–343, July 2011
How to Cite
Hamilton, S., Moore, A. M., Crane, D. R. and Payne, S. H. (2011), Psychotherapy dropouts: Differences by modality, license, and DSM-IV diagnosis. Journal of Marital and Family Therapy, 37: 333–343. doi: 10.1111/j.1752-0606.2010.00204.x
The authors would like to express our deep appreciation to our collaborators who made this project possible: Jodi Aronson Prohofsky, PhD, LMFT, Senior Vice President of Operations, Health Solutions CIGNA; Anthony G. Massey, MD, MBA, Senior Medical Director, Health Solutions CIGNA; and David Bergman, JD, Former Director of Legal and Government Affairs at AAMFT, now VP of Legal & External Affairs & Chief Legal Officer, National Board for Certified Counselors.
- Issue published online: 11 JUL 2011
- Article first published online: 28 APR 2010
Dropouts are frequent in mental health care. Several client factors have been identified as dropout predictors, including ethnic minority status, race, low SES, and more severe symptoms. Research on therapist and process variables is less common, and findings are inconsistent. This study used administrative data for 434,317 patients from CIGNA Behavioral Health (CIGNA) to examine dropout rates by profession of provider, therapy modality, and DSM-IV diagnosis. Results indicate that among the providers, MFTs have the lowest dropout rates in the CIGNA network. Of the therapy modalities, individual therapy is associated with lower dropout rates than family therapy. Mood and anxiety disorders have lower dropout rates than other diagnosis categories, while schizophrenia, psychotic, and substance use disorders have the highest dropout rates.