Katie L. Randall-Sungar, Psy.D., is a 2018 graduate of the Psy.D. Program in Clinical Psychology at Antioch University, New England

Dissertation Committee:

  • Theodore Ellenhorn, PhD, ABPP, Committee Chair
  • Barbara Belcher-Timme, PsyD, Committee Member
  • Vincent Pignatiello, PsyD, Committee Member


timely response, client engagement, readiness, expectations, attrition, working alliance, early indicators, short-term outcome, long-term outcome

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A retrospective research study evaluated archival data on client engagement from a program evaluation project implemented at the Psychological Services Center at Antioch University New England. Student researchers from the Center for Behavioral Health Innovation (formerly Center for Research of Psychological Practices) partnered with the Antioch University Psychological Services Center (PSC) to investigate the impact of client early engagement on drop-out rates and therapy outcomes of mental health clients. Potential participants were administered a brief questionnaire, prior to the first session via phone call, to assess their readiness, expectations of therapy, potential barriers to seeking treatment, and their initial impression of the clinic. Evaluating the effects of client readiness on the working alliance and early treatment outcomes of 28 participants did not yield a significant effect. However, a nested path analysis revealed a significant effect for clinic timeliness as a moderator between two groups. In other words, predictive effects were observed between client readiness variables and the working alliance.


Katie L. Randall-Sungar

ORCID Scholar ID# 0000-0002-2040-469X