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Mental Health Treatment Dropout and Its Correlates in a General Population Sample

2007· article· en· W2030023322 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueMedical Care · 2007
Typearticle
Languageen
FieldPsychology
TopicMental Health Treatment and Access
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsMental healthDropout (neural networks)PsychiatryMoodMedicineLogistic regressionPopulationMood disordersPsychologyClinical psychologyEnvironmental healthAnxietyInternal medicine

Abstract

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BACKGROUND: Dropping out of mental health treatment prematurely may affect treatment outcome. However, we have limited knowledge about the epidemiology of mental health treatment dropout. The objectives of this analysis were to estimate the rates of dropout in individuals who had received mental health treatment provided by different health professionals and to identify factors associated with mental health treatment dropout. METHODS: Data from the Canadian Community Health Survey-Mental Health-Well-being were used. Participants who had used mental health services in the past 12 months were included in the analysis (n=3556). The percentages dropping out of mental health treatment provided by various health professionals were estimated. Logistic regression was used to identify factors associated with treatment dropout. RESULTS: The overall rate of dropout from mental health treatment in the past 12 months was 22.3%. Participants who had used services provided by family doctors/general practitioners had the lowest rate of dropout (11.8%). The dropout rate was 22.7% in those who were treated by psychiatrists and was 21.9% in participants who had seen psychologists. Young (15-25 years), nonwhite and individuals who reported having had a mood disorder or having had substance dependence were more likely to terminate treatment prematurely. CONCLUSIONS: In Canada, a large percentage of individuals who use mental health services prematurely terminate their treatment. Clinical factors may play important roles in treatment dropout. Patients with substance dependence and those with mood disorders have a high risk of treatment dropout.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.301
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.032
GPT teacher head0.415
Teacher spread0.384 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it