Reasons for dropping out of internet-based problem gambling treatment, and the process of recovery – a qualitative assessment

AbstractProblem gambling (PG) is a condition affecting the economy, mental health, and relationships of both the individuals with gambling problems, and concerned significant others (CSOs). While PG is treatable, few individuals with gambling problems seek treatment, and many drop out of treatment. This qualitative study aims to investigate a) the reasons for individuals with gambling problems to drop-out from Internet-based PG treatment, and b) what individuals with gambling problems and CSOs find helpful and unhelpful processes in PG recovery. A total of 16 participants (8 individuals with gambling problems and 8 CSOs) who had participated in an Internet-based PG treatment were interviewed over the telephone in a semi-structured interview. The interviews were analyzed using thematic analysis. Drop-out from treatment was one aspect of an overarching theme identified as unstable path to recovery, where alternating periods of progress and setbacks delineate several aspects of PG. Relapses, negative emotions, and changing life circumstances were identified to separately, and in combination, contribute to drop-out. Drop-outs were also explained by participants’ experiences of a reduced need for treatment. Openness and a support from CSOs and peers were identified as themes important for recovery. The results suggest that PG treatments should consider the emotional state, and comorbidities of the patients, in order to reduce drop-out and improve chances of recovery.

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Dropout from an internet-delivered CBT Intervention for Adults with Depression and Anxiety: A Qualitative Study (Preprint)

10.2196/preprints.26221 ◽

2020 ◽

Author(s):

Kate Lawler ◽

Caroline Earley ◽

Ladislav Timulak ◽

Angel Enrique ◽

Derek Richards

Keyword(s):

Online Communication ◽

Structured Interview ◽

Routine Care ◽

Drop Out ◽

Group Differences ◽

Dropping Out ◽

Completion Rates ◽

Depression And Anxiety ◽

Lower Treatment ◽

Perceived Change

BACKGROUND Treatment dropout continues to be reported from iCBT interventions and lower completion rates are generally associated with lower treatment effect sizes. However, evidence is emerging to suggest that completion of a pre-defined number of modules is not always necessary for clinical benefit nor considerate of the needs of each individual patient. OBJECTIVE The study aimed to carry out a qualitative analysis of patients’ experiences of an iCBT intervention in a routine care setting in order to achieve a deeper insight into the phenomenon of dropout. METHODS Fifteen purposively sampled participants (8 female) from a larger parent RCT were interviewed via telephone using a semi-structured interview schedule that was developed from the existing literature and research on dropout in iCBT. Data was analysed using the descriptive-interpretive approach. RESULTS The experience of treatment leading to dropout can be understood in terms of ten domains: Relationship to Technology, Motivation to Start, Background Knowledge and Attitudes towards iCBT, Perceived Change in Motivation, Usage of the Programme, Changes due to the Intervention, Engagement with Content, Experience Interacting with the Supporter, Experience of Online Communication and Termination of the Supported Period. CONCLUSIONS Patients who drop out of treatment can be distinguished in terms of their change in motivation: those who felt ready to leave treatment early and those who had negative reasons for dropping out. These two groups of participants have different treatment experiences, revealing potential attributes and non-attributes of dropout. The reported between group differences should be examined further to consider those attributes that are strongly descriptive of the experience and regarded with less importance those that have become loosely affiliated.

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University Drop-outs and Disparities: What’s the Relationship?

Revista Romaneasca pentru Educatie Multidimensionala ◽

10.18662/rrem/103 ◽

2019 ◽

Vol 11 (1) ◽

pp. 163 ◽

Cited By ~ 1

Author(s):

Abdelaziz Razouki ◽

Laila Rafouk ◽

Widad Bouab ◽

Khadija EL Hariri ◽

Abdelhakim Alagui ◽

...

Keyword(s):

Student Affairs ◽

Teaching Methods ◽

Social Background ◽

Drop Out ◽

Dropping Out ◽

First Year ◽

Academic Difficulties ◽

Drop Outs ◽

The Relationship ◽

Out Of School

Dropping out of school has been a major concern at the Moroccan university for several years and is apparent in several university reports. 28% to 30% of students drop out in their first year. The risk factors for dropping out are numerous. The risk of dropping out of school is higher for a student from a disadvantageous social background than for those from a privileged background, with identical academic skills. Research shows that many factors, such as anxiety, uncertainty, Lack of guidance, isolation or alienation, academic difficulties, teaching methods and the teachers’ attitude are key determinants of students’ disengagement from their studies. Actions have been taken by the Moroccan government to reduce this phenomenon; particularly in the form of the “Programme d’Urgence” launched by the Ministry (2008-2012), but the situation has not improved significantly.This publication reports the results of a research conducted at the Cadi Ayyad University since 2015. The tool used to run this investigation is a questionnaire while withdrawing their baccalaureate’s degree from the student affairs service, canceling their registration.

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PEMETAAN KEBUTUHAN PENDIDIKAN NON FORMAL TERHADAP PEMUDA PUTUS SEKOLAH DI DESA MALLASORO KECAMATAN BANGKALA KABUPATEN JENEPONTO

LaGeografia ◽

10.35580/lga.v17i1.7336 ◽

2018 ◽

Vol 17 (1) ◽

pp. 1

Author(s):

Sriwulangdari Sriwulangdari

Keyword(s):

Formal Education ◽

Drop Out ◽

Dropping Out ◽

School Age ◽

Education Needs ◽

Out Of School Youth ◽

Drop Outs ◽

School Youth ◽

Goat Farming ◽

Out Of School

This study aims to determine: 1) Characteristics of out-of-school youth; 2) Non Formal education required by youth dropping out of school; And 3) Mapping of non formal education needs to out of school youth. The population in this study were youth dropping out of school age 15-30 years while the sample in this study is the youth who have dropped out of school age 15-30 years amounted to 100 people. Data collection using interviews, documentation and observation, after data collected data analysis done by data reduction, mendisplay data, and draw conclusions. The results showed that: 1) Characteristics of youth drop out of school in terms of age most are age 27-30 years 41%, the number of siblings most is 3-4 people 32%, the largest number of household members is 5-6 people 39%, education level The highest formal achieved is the 53% SD level. Factors that cause drop outs are inadequate costs, marriage, interest in going to school, distance to school and help parents earn a living; 2) Non-formal education required by out-of-school youth is 36% sewing / 36% skill, 33% cooking / culinary skill, 11% goat farming skills, 9% crafting / handmaking skills, 4% woodworking skills, Computer 4%, facial / bridal make up 3%; And 3) Mapping of the need for non formal education to out-of-school youth indicates that out-of-school youth need non-formal education for their life needs. The types of skills that young people need to drop out of school are the types of sewing / dressing skills, cooking / culinary skills, goat farming skills, handicraft / wicker skills, woodworking skills, computer skills, and facial / bridal makeup skills.

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Penerapan Pola Orang Tua Asuh terhadap Remaja Putus Sekolah di Panti Sosial Bina Remaja (PSBR) Bambu Apus Jakarta Timur

EMPATI Jurnal Ilmu Kesejahteraan Sosial ◽

10.15408/empati.v7i1.10004 ◽

2018 ◽

Vol 7 (1) ◽

Author(s):

Maygie Priayudana

Keyword(s):

Social Services ◽

Foster Parents ◽

Social Institutions ◽

Growth Period ◽

Social Needs ◽

Drop Out ◽

Dropping Out ◽

Care Systems ◽

Drop Outs ◽

Early Preparation

Abstract. Teenagers or adolescents are perceived as an investment and accordingly seen as a potential for the welfare and nation assets in the future by parents. It is important to produce generation serving as the backbone of a nation need an early preparation by the parents through fulfillment of physical, mental and social needs in accordance with growth period. As an institution responsible for the problems of a dropping out teenage, PSBR Bambu Apus of East Jakarta is in charge of providing a professional social services for a drop-outs cases. In cooperation with other social institutions, PSBR provides a holistic guidance and services by using different care systems such as dormitories as residence and socialization of beneficiaries through foster parents. This research is a qualitative study providing an overview of how the implementation of foster parent patterns for a drop out teenagers. Abstrak. Anak atau remaja merupakan investasi bagi orang tua, bahkan merupakan potensi kesejahteraan serta aset bangsa di masa depan. Untuk mencetak generasi yang kelak dapat menjadi tulang punggung bangsanya harus dipersiapkan sejak dini oleh orang tua melalui pemenuhan kebutuhan baik fisik, mental maupun sosial yang sesuai dengan masa tumbuh kembangnya, menjadi penting. Sebagai instansi yang bertanggung jawab terhadap permasalahan remaja putus sekolah terlantar, PSBR Bambu Apus Jakarta Timur bertugas memberikan pelayanan sosial secara profesional bagi remaja putus sekolah terlantar. PSBR melakukan bimbingan dan pelayanan yang bersifat holistik dengan menggunakan sistem asuhan yang berbeda dengan sistem di panti sosial lain yang menggunakan asrama sebagai tempat tinggal dan tempat sosialisasi para penerima manfaat yaitu melalui orang tua asuh. Oleh karena itu, penulis melakukan penelitian kualitatif yang akan memberikan gambaran bagaimana penerapan pola orang tua asuh terhadap remaja putus sekolah.

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Dropping out of care: inappropriate terminations of contact with community-based psychiatric services

The British Journal of Psychiatry ◽

10.1192/bjp.181.4.331 ◽

2002 ◽

Vol 181 (4) ◽

pp. 331-338 ◽

Cited By ~ 62

Author(s):

Alberto Rossi ◽

Francesco Amaddeo ◽

Giulia Bisoffi ◽

Mirella Ruggeri ◽

Graham Thornicroft ◽

...

Keyword(s):

Global Assessment ◽

Mental Illnesses ◽

Psychiatric Services ◽

Drop Out ◽

Dropping Out ◽

Global Assessment Of Functioning ◽

Community Based ◽

Satisfaction Scale ◽

Younger Patients ◽

Drop Outs

BackgroundFew studies have investigated factors which predict inappropriate terminations (drop-out) of clinical contact with mental health services.AimsTo identify patient and treatment characteristics associated with dropping out of contact with community-based psychiatric services (CPS).MethodA 3-month cohort of patients attending the CPS was followed up for 2 years, to identify drop-outs.ResultsWe identified 495 patients who had had at least one psychiatric contact of whom 261 had complete ratings for the Global Assessment of Functioning and the Verona Service Satisfaction Scale. In the year after the index contact, 70 terminated contact with the CPS; of these, 44 were rated as having inappropriate terminations (the ‘drop-out’ group) and 26 had appropriate terminations of contact. Drop-outs were younger, less likely to be married and their previous length of contact with services was shorter. No drop-outs had a diagnosis of schizophrenia. Multivariate analysis revealed predictors of dropping out.ConclusionsIn a CPS targeted to patients with severe mental illnesses, those who drop out of care are younger patients without psychoses who are generally satisfied with their treatment.

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Treatment of Gambling Problems in Asia: Comprehensive Review and Implications for Asian Problem Gamblers

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.27.3.297 ◽

2013 ◽

Vol 27 (3) ◽

pp. 297-322 ◽

Cited By ~ 12

Author(s):

Namrata Raylu ◽

Jasmine Loo ◽

Tian P. S. Oei

Keyword(s):

Problem Gambling ◽

Treatment Program ◽

Asian American ◽

Gambling Problems ◽

Psychodynamic Treatment ◽

Problem Gamblers ◽

Behavioral Treatments ◽

Gambling Treatment ◽

Problem Gambling Treatment

Much research has been conducted in the treatment of gambling problems. However, very little is reported specifically on treating Asian problem gamblers. Thus, this article reviewed the general problem gambling treatment literature as well as the limited Asian problem gambling treatment literature to provide a discussion of interventions that can be used with Asian problem gamblers. The general literature showed that behavioral, cognitive, and combined cognitive behavioral treatments (CBT) have the most treatment outcome literature and appear to be the most effective in treating gambling problems. Although, pharmacotherapy also looks promising, it may be more suitable for problem gamblers with comorbid mood problems or impulsivity. Research on other forms of treatments also exists (e.g., 12-step and psychodynamic treatment approaches) but are not as robust. Only three studies have reported on the effectiveness of treatment with Asian problem gamblers. The first study is case study. The second study presents data from a treatment program for Asian problem gambling and the last one presents preliminary findings of a telephone delivered treatment program with eight Asian American gamblers. These studies support the general treatment literature in showing that CBT and pharmacotherapy have a role to play in treating Asian problem gamblers. Based on the general and Asian problem gambling treatment literature, a discussion of treatment of Asian problem gamblers is provided including the use of CBT and other forms of treatment, issues to address in treatment, and variables that can assist treatment.

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