Attrition in Child Psychotherapy

  • Paula Armbruster
  • Alan E. Kazdin
Part of the Advances in Clinical Child Psychology book series (ACCP, volume 16)


Attrition or loss of cases poses a significant problem in the evaluation and delivery of children’s psychiatric services (Garfield, 1986; Howard, Krause, & Orlinsky, 1986; Stark, 1992). From 28% to 59% of children and families drop out from treatment (Gould, Shaffer, & Kaplan, 1985). Since two-thirds of children in need of mental health intervention already fail to receive this service (U.S. Congress, 1986, 1991), attrition exacerbates the problem of too few services to children in need of care. Furthermore, and inextricably related, attrition is a major problem in treatment research (Kazdin, 1988). Loss of subjects prohibits drawing valid inferences from the aspect of treatment under study.


Mental Health Service Parental Stress Treatment Session Community Mental Health Conduct Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Paula Armbruster
    • 1
  • Alan E. Kazdin
    • 2
  1. 1.Child Study CenterYale University School of MedicineNew HavenUSA
  2. 2.Department of PsychologyYale UniversityNew HavenUSA

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