Lowering Client No Show Rate

Anthony,

I really appreciate your monthly column in ACA’s Counseling Today. Recently, you wrote about how counselors can better address no-show policies with clients.

As a Master’s level intern counselor, I conduct therapy at a private practice office that sees many clients who are on a Medicaid health plan. How can we improve and enforce our no-show policy with clients who cannot afford to pay a fee for missed sessions?

Thanks for your advice!

-John

Hi John,

That’s a good question!
When neither the provider nor the client can afford a cancellation fee, what is there to be done?

To this, I really don’t know the answer. You might need to get creative….I know of a dentist, who, if you miss your first appointment with him, he will never reschedule another appointment with you. I don’t know if this will help you–but this policy has apparently drastically lowered his ongoing no-show rate.

Perhaps your staff can call the clients the day of, or day before the appointment, to make sure they are still planning to attend?
Perhaps you can start clients off with a short session to begin, to make sure they are going to attend, before booking out an entire hour session?

Read more on the topic: The Cancellation Policy your Practice Must Use!

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Anthony Centore

Anthony Centore

Anthony Centore Ph.D. is Founder and CEO at Thriveworks--a counseling practice, focused on premium client care, with 80+ locations across the USA. He is Private Practice Consultant for the American Counseling Association, columnist for Counseling Today magazine, and Author of How to Thrive in Counseling Private Practice. Anthony is a multistate Licensed Professional Counselor and has been quoted in national media sources including The Boston Globe, Chicago Tribune, and CBS Sunday Morning.

Check out “Leaving Depression Behind: An Interactive, Choose Your Path Book” written by AJ Centore and Taylor Bennett."