In this study, the authors examined factors that predicted dropping ou
t of treatment among White and Black children (N = 279, ages 3-13) and
among families attending outpatient treatment for externalizing probl
ems. Multiple factors that increase the burden of participating in tre
atment are disproportionately distributed among minority families. Con
sequently, the authors predicted the rate of premature termination wou
ld be greater for Black than for White families and that the profile o
f factors that predicted leaving treatment early would differ. The res
ults indicated that Black families were at greater risk and that sever
al group-specific as well as common factors can be identified that inc
rease risk. Predictors of dropping out can be used for early identific
ation of families at risk and for developing strategies to better enga
ge families in treatment.