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To meet the needs of clients, mental health clinics must offer responsive, organized intake procedures. Clients who receive rapid intervention when they request therapy services are more likely to attend and benefit from therapy. ...
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To meet the needs of clients, mental health clinics must offer responsive, organized intake procedures. Clients who receive rapid intervention when they request therapy services are more likely to attend and benefit from therapy. The present study examined the effects of implementing a web-based scheduling program on treatment delays and first session attendance. Results indicated that the use of a web-based scheduling system significantly reduced the number of days clients waited for a first appointment and increased the number of kept appointments. Additionally, clients provided with an immediate response to their request for treatment successfully terminated from therapy after fewer sessions.
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This study of 33 mental health therapists and 30 case managers examined the relationship between practitioners' assessments of the importance of potential treatment barriers and their use of engagement strategies to overcome those...
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This study of 33 mental health therapists and 30 case managers examined the relationship between practitioners' assessments of the importance of potential treatment barriers and their use of engagement strategies to overcome those barriers and improve treatment participation. Results confirmed the hypothesis that workers who viewed treatment barriers as more important were significantly more active in their reported efforts to engage clients (r = .28, p < .05). Although no significant differences between the two groups were found in overall use of engagement strategies, we found a significant interaction effect between position and types of strategies used, with therapists employing more discussion strategies while case managers were more likely to employ practical engagement strategies (F = 35.79, p < .001). Findings suggest the desirability of enhancing mental health workers' sensitivity to the range of barriers that clients may experience, and expanding the repertoire of engagement strategies they use to encourage client retention.
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This study aims to examine the effects of human capital loss on relationships with clients in knowledge-intensive born global firms, and explain how firms address the challenges resulting from employee attrition. In so doing, this...
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This study aims to examine the effects of human capital loss on relationships with clients in knowledge-intensive born global firms, and explain how firms address the challenges resulting from employee attrition. In so doing, this study applies a dynamic capability-based approach and suggests ways of minimising customers' concern about attrition. Relationship transparency is assumed to be a crucial factor for sustaining long-term relationships with customers and reaffirming service firms' ability to accomplish their commitment and client projects satisfactorily. The findings of this study suggest that development of knowledge retention and sharing capabilities enhances the transparency and reduces the relationship uncertainties resulting from human capital loss. In illustrating the theoretical assumption, the study draws on material derived from four case studies of Indian knowledge-intensive service firms. The findings contribute to the literature on business-to-business relationship marketing, and born global.
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Public Significance Statement The purpose of this study was to examine the response rates to initial client inquiries for treatment. Results indicated a 2% response rate across all client conditions, mental health disciplines and ...
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Public Significance Statement The purpose of this study was to examine the response rates to initial client inquiries for treatment. Results indicated a 2% response rate across all client conditions, mental health disciplines and geographical location. The results are congruent with other studies in this area and highlight a significant obstacle to the access of mental health treatment. Possible solutions to this dilemma, such as a reform to ethical codes, were suggested. As demand for mental health services rise, clinicians and scholars have turned their attention to questions related to access. In particular, scholars have focused on the initial point of contact when prospective clients seek services. Existing literature demonstrates the importance of timely entrance into treatment and the negative consequences of wait-lists for a wide variety of clinical issues. Waiting for services has been found to impact attrition rates and various aspects of client welfare. However, while the mental health community agrees on the importance of getting clients into treatment, there has been little research on how quickly various mental health professionals respond to client inquiries for appointments or the professional-based variables that might impact that response rate. The present study aims to fill this gap in the literature by assessing mental health professionals' (psychologists, licensed professional counselors/licensed mental health counselors, and licensed clinical social workers) responses to various types of client inquiries. The article reports very low response rates and discusses clinical implications and potential solutions.
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Objective: To describe mothers' reasons for leaving a home visiting program early. Design: Qualitative descriptive study using semistructured interviews of mothers who dropped out of the Nurse-Family Partnership (NFP) and two focu...
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Objective: To describe mothers' reasons for leaving a home visiting program early. Design: Qualitative descriptive study using semistructured interviews of mothers who dropped out of the Nurse-Family Partnership (NFP) and two focus groups with nurses and nurse supervisors at an NFP site. Setting: A New York State site of a NFP home visitation program for low-income new mothers designed to improve the physical and emotional care of children. Participants: Participants included 21 mothers, 8 nurses, and 3 nurse-supervisors. Methods: Semistructured interviews and focus groups were used to collect data, which were analyzed using content analysis. Results: The program was not perceived to fit a mother's needs when she was overwhelmed with other responsibilities, the nurse did not meet her expectations, the content was not of interest, or the mother did not desire visits after the infant was born. Nurses and mothers described the need for mothers to have organizational and communication skills, such as keeping track of appointments, calling to reschedule, articulating needs, and asking for assistance. Disruptive external influences included nurse turnover and unstable living situations, including frequent moves and crowded housing. Each of these types of barriers had potential to interact with the others, creating complex combinations of challenges to retention. Conclusion: NFP retention might be improved by reframing program relevance to individual mothers and increasing maternal organizational and communication skill development.
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