High rates of dropout are common among adolescents in therapy making efforts to reduce adolescent psychopathology and behavioral problems challenging. The present study examined archival data from multiple informants who enrolled in a 16-week intensive outpatient treatment program for self-harming youth. The purpose of this study was to assess potential predictors of treatment dropout. Preliminary analysis indicated that adolescents who dropped out of treatment did not make clinically significant improvements when compared with adolescents who completed the program. This supports the need to retain adolescents in treatment for a complete course of treatment. The study also found that for the most part youth and parent YOQ subscale scores at pretreatment failed to identify reasons for discharge (graduate versus dropout). The sole predictor of dropout was adolescent reported intrapersonal distress assessed at pre-treatment. Specifically, results indicated that adolescents reporting lower degrees of intrapersonal distress at pretreatment were more at risk of dropping out of the program than their peers. By identifying predictors of dropout, clinicians can modify treatment and hopefully reduce dropout rates and improve outcomes for participants in the SHIELD program.
School of Behavioral Health
Arechiga, Adam L.
Doctor of Psychology (PsyD)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Adolescent Behavior; Behavior Therapy; Attitude to Health; Patient Acceptance of Health Care; Patient Compliance; Patient Dropouts; Patient Outcome Assessment; Parent-Child Relations; Psychotherapy - in Adolescence
Subject - Local
Adolescent Psychopathology; Informants; Outpatient Treatment Programs; Self-harming Youth; Predictors of Treatment Dropout; Intrapersonal Distress
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Mitchell, David A., "Use of Multi-Informants in Predicting Adolescent Treatment Dropout" (2015). Loma Linda University Electronic Theses, Dissertations & Projects. Paper 272.
Loma Linda University Electronic Theses and Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives