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. Author manuscript; available in PMC: 2010 Jul 1.
Published in final edited form as: Psychiatr Serv. 2009 Jul;60(7):898–907. doi: 10.1176/appi.ps.60.7.898

Table 3.

Predictors of treatment dropout overall and by sector after the first or second visits

Treatment sector

Overall Psychiatrist Other Mental
Health Professions2
General
Medical
Human
Services
Significance of
between-sector differences
OR CI χ2 OR CI χ2 OR CI χ2 OR CI χ2 OR CI χ2 χ2

Age
  18–29 .9 .5–1.8 7.9* 1.1–58.2 .2–6.1 1.5 .6–3.4 .5 .1–2.2
  30–44 .9 .6–1.5 2.0 .4–9.4 1.1 1.1 .7–1.9 .6 .2–2.5
  45–59 .8 .5–1.2 .8 .1–6.2 .7 .4–1.2 .5 .1–1.8
  60+ 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
      χ23 1.0 12.5* .0 4.7 1.8 439.3*
Gender
  Male 1.1 .7–1.6 4.5 .9–22.2 .8 .4–1.8 1.4 .9–2.1 .2* .1–.6
  Female 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
      χ21 .2 3.6 .3 2.9 9.0* 8.0*
Ethnicity
  Black 1.2 .7–2.0 2.5 .9–7.1 .5 .2–1.5 1.5 1.0–2.3 1.6 .4–6.7
  Hispanic .9 .5–1.5 2.6 .6–10.6 1.0 .4–2.5 1.0 .6–1.6 1.4 .3–6.6
  Other .7 .2–2.7 .0* .0–.0 .4 .1–3.6 1.5 .5–4.3 .4 .0–6.1
  Whites 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
      χ23 .9 357.2* 3.0 4.0 1.3 3.4
Marital status
  Married/Cohabitated 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
  Sep/Div/Wid 1.0 .6–1.4 .5 .2–1.5 .9 .4–2.1 .9 .6–1.3 1.7 .7–4.3
  Never Married 1.0 .7–1.4 .6 .2–2.0 1.0 .4–2.2 .9 .6–1.3 .8 .3–2.2
      χ22 .1 1.7 .1 1.1 1.7 6.8
Education
  0–15 1.1 .7–1.6 .9 .2–4.4 1.6 .9–3.0 .9 .6–1.3 2.2 .5–10.2
  16+ 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
      χ21 .2 .0 2.4 .2 1.1 2.2
Income
  low 1.0 .6–1.8 10.5 .9–122.5 .5 .1–1.9 .9 .5–1.5 .8 .1–4.6
  average-low 1.1 .6–1.8 2.0 .2–19.3 1.7 .7–4.5 .8 .5–1.5 3.1 .5–18.9
  average-high 1.1 .7–1.8 .6 .0–7.4 .6 .2–1.9 1.3 .6–2.5 6.2* 1.1–33.2
  high 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
      χ23 .2 12.2* 5.0 2.5 11.4* 36.4*
  Insurance (Yes/No) .7 .4–1.2 .4 .1–1.3 .5 .2–1.5 .7 .4–1.3 2.1 .7–6.0
      χ21 2.1 2.6 1.7 1.2 1.9 2.3
  LT mental health treatment .9 .6–1.4 .2* .1–.6 1.2 .5–2.7 .8 .6–1.2 1.4 .6–3.3
      χ21 .3 7.9* .2 1.0 .5 5.6
Mental Disorders
  Any Mood .6 .4–1.0 .3 .1–1.6 1.3 .6–2.7 .7 .5–1.1 1.2 .3–4.0 .7
  Any Anxiety 1.0 .6–1.6 5.5 .9–32.2 2.3 .8–6.4 .9 .6–1.2 .6 .2–1.6 4.4
  Any Substance .6 .3–1.0 .5 .1–2.7 1.8 .8–4.0 1.0 .6–1.7 1.0 .3–3.7 4.9
  Any Impulse .7 .3–1.5 .4 .1–1.5 .2* .0–.9 .9 .4–1.7 2.0 .7–5.3 10.4*
      χ24 11.3* 9.7* 9.7* 6.6 4.2 31.4*
# of disorders
  Only 1 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
  2 or more 2.5* 1.4–4.6 .4 .1–2.4 .5 .1–1.6 1.7* 1.1–2.7 1.1 .3–4.4
      χ21 9.1* 1.2 1.5 6.4* .0 6.1
Number of Providers
  1 1.0 -- 1.0 -- 1.0 -- 1.0 -- 1.0 --
  2 .1* .0–.3 .7 .3–1.9 .3 .1–.6 .5* .3–.9 .5 .2–1.1
      χ21 15.5* .5 13.6* 5.9* 3.2 91.7*
Types of provider
  Complementary Med(Y/N) .2* .1–.5 .2 .0–2.7 .2 .0–1.7 .2* .1–.4 .6 .2–2.1
      χ21 10.7* 1.5 2.4 18.6* .6
  Psychiatrist .4 1–1.3
  Other Mental Health Profession 1.0 .5–2.1
  General Medical 2.9 1.6–5.5
  Human Services 1.0 --
      χ23 46.3* 4.8
      (n)3 (730) (141) (156) (645) (152)

1

Models are multivariate (all predictors in each column entered at once) and based on a survival framework (with person-visit file); each column represents a separate multivariate model of dropout from care in that sector. Because the sample is restricted to those with 1–2 visits- it is not possible to have more than 2 providers.

2

For other mental health professions, the age categories are 18–59 vs 60 due to scarce data

3

Number of cases that received treatment from the provider