Review of Interventions to Improve Family Engagement and Retention in Parent and Child Mental Health Programs.

Review of Interventions to Improve Family Engagement and Retention in Parent and Child Mental Health Programs.
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DOI:
10.1007/s10826-009-9350-2
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发表时间:
2010-10-01
影响因子:
2.1
通讯作者:
Ingoldsby, Erin M.
Ingoldsby, Erin M.
中科院分区:
心理学3区
文献类型:
--
作者:
Ingoldsby, Erin M.

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让家庭参与和保留心理健康预防和干预计划对于确保最大限度地影响公共卫生至关重要。我们评估了自1980年以来出版的儿童心理健康计划中改善家庭参与和保留的随机对照试验测试方法(N = 17)。提供者明确解决家庭进入治疗时的实际(如日程安排,交通)和心理(如家庭成员的阻力,对治疗过程的信念)障碍的简短,密集的参与干预措施有效地改善了早期会议的参与。少数干预措施,发现产生长期影响的参与和保留综合动机访谈,家庭系统,并加强家庭压力和应对支持战略在多个点在整个治疗。在预防方案的背景下,很少有干预措施得到测试。有一些很有希望的方法可以提高参与度和留住人才;这些方法应加以推广,并作为这一领域未来研究的基础。
Engaging and retaining families in mental health prevention and intervention programs is critically important to insure maximum public health impact. We evaluated randomized-controlled trials testing methods to improve family engagement and retention in child mental health programs published since 1980 (N = 17). Brief, intensive engagement interventions in which providers explicitly addressed families’ practical (e.g. schedules, transportation) and psychological (e.g. family members’ resistance, beliefs about the treatment process) barriers as they entered treatment were effective in improving engagement in early sessions. The few interventions found to produce long-term impact on engagement and retention integrated motivational interviewing, family systems, and enhanced family stress and coping support strategies at multiple points throughout treatment. Few interventions have been tested in the context of prevention programs. There are promising approaches to increasing engagement and retention; they should be replicated and used as a foundation for future research in this area.
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