Impact of Fees Among Low-Income Clients in a Training Clinic

Many therapists believe clients must pay a fee in order for therapy to be effective. This study conducted a review of 1,125 client records in a southeastern university’s marriage and family therapy training clinic to determine how paying fees impacted therapy attendance and outcomes. The results indicated that the amount of fee paid did not predict therapy attendance or outcomes. These findings, consistent with previous research, suggest that fee payment has limited impact on achievement of therapeutic gains.