Differential early termination is tied to client race/ethnicity status.

A significant innovation in the training of doctoral level professional psychologists, attention to diversity, was implemented nearly 3 decades ago and swept across all accredited programs. Regardless of training model, degree type, or theoretical orientation, attention to diversity became a requirement for program accreditation with the intention of fostering important competencies in the emerging workforce who would be serving an increasingly diverse population during their professional careers. However, to date, whether that is what occurred has not been examined. The current study used archival data to examine the association between client racial/ethnic minority (REM) status and early termination from adult individual psychotherapy (N = 638). Multilevel modeling analyses (MLM) revealed that REM clients were more likely to terminate treatment after 1 session than non-REM clients. However, REM status did not account for the total number of sessions attended, nor was it a significant predictor of symptom change during treatment. The findings suggest that training focused specifically on first session competencies, such as treatment engagement, with REM clients is strongly needed. More broadly, the findings underscore the importance of examining innovations following implementation to determine whether the intended effects are observed or if refinements may be needed. (PsycINFO Database Record (c) 2019 APA, all rights reserved)