Abstract
Missed appointments and treatment attrition may result in inefficient and ineffective use of available mental health resources. The barriers to treatment model comprise the current framework for building a better understanding of the causes of treatment attrition. The use of this model allows clinicians to implement targeted interventions for preventing treatment dropout and poor engagement. The presence of both child- and family-level barriers is unique to child and adolescent psychiatry. Previous studies have varied in what predictors of treatment dropout have been found to be significant, with major differences existing between studies performed in community-based clinics and research centers.
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