This study examines a population of spouse abusers undertaking a treatment program. Its purpose was to identify the variables associated with dropout and completion of treatment and to build a predictive model. Data were collected on 286 men who began group treatment in one of eight community programs in the province of Quebec, Canada. Results show that men who complete treatment are older, better educated and have better economic conditions than men who drop out. They also have a more stable family life, have been in a relationship for a longer period of time and have more children with their actual spouse. Men who completed treatment showed more commitment, better working capacities and a higher level of agreement with their therapists, thus developing a stronger therapeutic alliance. Support provided by people in the environment was significantly related to treatment completion. Social and judicial pressures were not related to completion.
In the Psychiatric Department of Frederiksberg Hospital, 115 of all 153 admitted patients were interviewed about their use of alternative treatment. Information obtained from the interviews was compared with data in the case records. Of the 115 patients interviewed, 42% had used alternative treatment at least once, while 17% had used alternative treatment within the past three months before the interview. Herbal medicine was the most frequent type of treatment. Nearly one half of the patients wanted treatment because of somatic problems. The frequency of alternative treatment decreased with age. Compared to the entire investigation group, those diagnosed as manic-depressive used alternative treatment more frequently, while schizophrenic patients used this kind of treatment less often. The patients most satisfied with the psychiatric department used alternative treatment less frequently. Use of alternative treatment was not related to duration of disease, or whether the patients were in the ward 24 hours or only during day-time. Only 19 of the 48 patients who had used alternative treatment had paid more than 1,000 Dkr. (approximately pounds 85) in all for the treatment, and only three patients had paid more than 1,000 Dkr. during the past three months. Women had paid relatively more for their treatment than men.
Psychiatric outpatients are surveyed in two separate areas, one (the city of Turku) with clearly above-average provision of mental-health services and the other (predominantly rural Eastern Satakunta) with services corresponding to the average for the country as a whole. The results show that in Turku 3.25% and in Eastern Satakunta 1.98% of the population aged 15 years or more had visited an outpatient treatment unit during the 4-month observation period. Compared with Eastern Satakunta, the patients in turku were relatively more often young persons, men (nearly as often as women), persons in the higher social classes and patients with psychiatric disorders other then psychosis. Treatment received by the patients in Turku was more intensive and included more psychotherapeutic elements. Particularly family-type and group-type therapies were more common in Turku than in Eastern satakunta. The results are considered from the viewpoint for both epidermiologic research and health care policy.