caa a22 4500 445320931 CHVBK 20180317142703.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10488-010-0323-y doi (NATIONALLICENCE)springer-10.1007/s10488-010-0323-y Predictors of Treatment Attrition Among an Outpatient Clinic Sample of Youths With Clinically Significant Anxiety [Elektronische Daten] [Araceli Gonzalez, V. Weersing, Erin Warnick, Lawrence Scahill, Joseph Woolston] Predictors of treatment attrition were examined in a sample of 197 youths (ages 5-18) with clinically-significant symptoms of anxiety seeking psychotherapy services at a community-based outpatient mental health clinic (OMHC). Two related definitions of attrition were considered: (a) clinician-rated dropout (CR), and (b) CR dropout qualified by phase of treatment (pre, early, or late phases) (PT). Across both definitions, rates of attrition in the OMHC sample were higher than those for anxious youths treated in randomized controlled trials, and comorbid depression symptoms predicted dropout, with a higher rate of depressed youths dropping out later in treatment (after 6 sessions). Using the PT definition, minority status also predicted attrition, with more African-American youths lost pre-treatment. Other demographic (age, gender, single parent status) and clinical (externalizing symptoms, anxiety severity) characteristics were not significantly associated with attrition using either definition. Implications for services for anxious youths in public service settings are discussed. Results highlight the important role of comorbid depression in the treatment of anxious youth and the potential value of targeted retention efforts for ethnic minority families early in the treatment process. The Author(s), 2010 Treatment attrition nationallicence Child anxiety nationallicence Adolescent anxiety nationallicence Outpatient psychiatry nationallicence Community mental health services nationallicence Gonzalez Araceli San Diego State University/University of California, Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, 92120-4913, San Diego, CA, USA aut Weersing V. San Diego State University/University of California, Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, 92120-4913, San Diego, CA, USA aut Warnick Erin Outpatient Psychiatric Clinic for Children, Yale Child Study Center, 40 Temple Street Suite 7C, 06510, New Haven, CT, USA aut Scahill Lawrence Child Psychiatry, Yale Child Study Center and Yale School of Nursing, 40 Temple Street, Suite 7C, 06510, New Haven, USA aut Woolston Joseph Outpatient Psychiatric Clinic for Children, Yale Child Study Center, 40 Temple Street Suite 7C, 06510, New Haven, CT, USA aut Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/5(2011-09-01), 356-367 0894-587X 38:5<356 2011 38 10488 https://doi.org/10.1007/s10488-010-0323-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10488-010-0323-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gonzalez Araceli San Diego State University/University of California, Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, 92120-4913, San Diego, CA, USA aut NATIONALLICENCE 700 1- Weersing V. San Diego State University/University of California, Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, 92120-4913, San Diego, CA, USA aut NATIONALLICENCE 700 1- Warnick Erin Outpatient Psychiatric Clinic for Children, Yale Child Study Center, 40 Temple Street Suite 7C, 06510, New Haven, CT, USA aut NATIONALLICENCE 700 1- Scahill Lawrence Child Psychiatry, Yale Child Study Center and Yale School of Nursing, 40 Temple Street, Suite 7C, 06510, New Haven, USA aut NATIONALLICENCE 700 1- Woolston Joseph Outpatient Psychiatric Clinic for Children, Yale Child Study Center, 40 Temple Street Suite 7C, 06510, New Haven, CT, USA aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/5(2011-09-01), 356-367 0894-587X 38:5<356 2011 38 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer