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Dissertation

Predicting treatment outcome in child and adolescent populations at a doctoral-level psychology training clinic

26 November 2012

Abstract

Limited research on premature termination in child and adolescent populations at doctoral-level psychological training clinics exists. Early termination is problematic in that it limits training experiences for student psychotherapists to earlier treatment phases and diminishes the possibility that children and adolescents are receiving mental health treatment that adequately resolves their presenting difficulties. It is therefore important to further examine this problem as it pertains to training clinics. A study involving data collection from a Pacific Northwest doctoral-level training clinic is described. The overall rate of premature termination was 59.6%. The relationships between client, caregiver, therapy relational, and therapeutic setting variables and premature termination were examined to build on extant literature. Two-way contingency table analyses indicated that termination status was significantly related to scores on an outcome measure. A standard logistic regression demonstrated that identified client and caregiver variables did not reliably predict termination status. Implications for clinicians, training clinics, and future research are discussed.


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