Engaging to improve engagement.
Engaging to improve engagement.
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参与以提高参与度。
DOI：
10.1176/appi.ps.640301
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Sirey,JoAnne
中科院分区：
文献类型：
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作者：
Sirey,JoAnne
开发干预措施以提高心理健康治疗的参与度，给研究人员带来了最基本的问题：谁参与心理健康护理？我们如何促进参与护理？良好的参与会带来更好的结果吗？参与研究试图通过干预措施解决这些基本问题，旨在提高参与和护理的临床影响。本月，Interian和他的同事们回顾了一些干预措施，以提高服务不足的少数族裔群体的参与度。他们工作的重要性和研究提高参与度的必要性怎么强调都不为过。参与可能是不够的，但它是必要的——没有参与，我们就无法取得成功的临床结果。在与老年抑郁症患者一起工作的过程中，我们的研究小组见证了人们从接受转诊、找到医生、同意治疗计划、参与治疗到坚持推荐的治疗方案所采取的步骤。我们在社区的非精神健康环境中工作，因此我们别无选择，只能接受参与其中的所有复杂性的挑战。许多有新的心理健康需求的老年人不寻求治疗，而是在其他环境中被提供者“确定”，如初级保健、老龄服务和家庭护理。在我们的工作中，我们将参与视为一种协作过程。
Developing interventions to improve engagement in mental health treatment brings researchers to the most basic questions: Who participates in mental health care? How can we promote participation in care? Does good participation lead to better outcomes? Research on engagement seeks to address these fundamental questions with interventions designed to improve both participation and the clinical impact of care. This month Interian and colleagues review interventions to improve engagement of persons from underserved racial-ethnic minority groups. The importance of their work and the need for research to improve engagement cannot be overstated. Engagement may not be sufficient, but it is necessary—without engagement we cannot achieve successful clinical outcomes.In working with older adults with depression, our research group has witnessed the steps that individuals take from accepting a referral, getting to a provider, agreeing to a treatment plan, participating in the treatment, and adhering to the recommended regimen. We work in non–mental health settings in the community, and thus we have no choice but to embrace the challenge of engagement with all of its complexity. Many older adults with new mental health needs do not seek treatment but are “identified” by providers in other settings, such as primary care, aging services, and home care. In our work, we have come to view engagement as a collaborative process.