What matters in the long run: predicting longevity based on initial client factors

Research has consistently demonstrated that a significant number of clients who initiate psychotherapy services terminate prematurely: as many as 40-60% of clients terminate therapy before it is recommended by their mental health professional. Research on attrition and retention has yielded equivocal results: findings are inconsistent in regard to factors that predict attrition/retention. The purpose of this study was to explore potential demographic and psychological factors that contribute to the longevity/utilization of services within a Counseling Psychology departments community and training mental health facility. Data were collected via chart review of terminated psychotherapy clients. Data were analyzed using SPSS 22. Hierarchical multiple regression indicated that a model containing overall readiness for change, level of education, and sexual orientation significantly predicted longevity of psychotherapy treatment. Clinical and training implications, future directions, and limitations are discussed.