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Client initiated termination of therapy at NHS primary care counselling services

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The main aim of this paper is to provide estimated benchmarks for unplanned endings for primary care counselling services using data drawn from the CORE National Research Database. Due to the problem of missing data, benchmarks are provided for ‘declared' therapy endings and ‘estimated' therapy endings. ‘Declared' therapy endings are where the practitioner has provided data; ‘estimated' therapy endings take into account missing data where clients are more likely to have had an unplanned rather than a planned ending to therapy. The average ‘declared' rate of unplanned endings was calculated at 32% with a high rate determined as 40% or higher and a low rate as 21% or lower. The average ‘estimated' rate of unplanned endings was calculated at 50% with a high rate determined as 58% or higher and a low rate as 38% or lower. It is likely that the true average, high and low rates of unplanned endings fall between the two sets of figures.
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Keywords: Termination; attrition; counselling; dropouts; primary care

Document Type: Research Article

Affiliations: 1: Psychological Therapies Research Centre, University of Leeds 2: Dumfries and Galloway Department of Psychological Services and Research

Publication date: 01 March 2006

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