Identifying the Common Elements of Treatment Engagement Interventions in Children's Mental Health Services

Michael A. Lindsey, Nicole E. Brandt, Kimberly D. Becker, Bethany R. Lee, Richard P. Barth, Eric L. Daleiden, Bruce F. Chorpita

Research output: Contribution to journalReview article

Abstract

Difficulty engaging families in mental health treatment is seen as an underlying reason for the disparity between child mental health need and service use. Interpretation of the literature on how best to engage families is complicated by a diversity of operational definitions of engagement outcomes and related interventions. Thus, we sought to review studies of engagement interventions using a structured methodology allowing for an aggregate summary of the most common practices associated with effective engagement interventions. We identified 344 articles through a combination of database search methods and recommendations from engagement research experts; 38 articles describing 40 studies met our inclusion criteria. Following coding methods described by Chorpita and Daleiden (J Consul Clin Psychol 77(3):566-579, 2009, doi: 10.1037/a0014565), we identified 22 engagement practice elements from 89 study groups that examined or implemented family engagement strategies. Most frequently identified engagement practice elements included assessment, accessibility promotion, psychoeducation about services, homework assignment, and appointment reminders. Assessment and accessibility promotion were two practice elements present in at least 50 % of treatment groups that outperformed a control group in a randomized controlled trial. With the exception of appointment reminders, these frequently identified engagement practice elements had a high likelihood of being associated with winning treatments when they were used. This approach offers a novel way of summarizing the engagement literature and provides the foundation for enhancing clinical decision-making around treatment engagement.

Original languageEnglish (US)
Pages (from-to)283-298
Number of pages16
JournalClinical Child and Family Psychology Review
Volume17
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Child Health Services
Mental Health Services
Appointments and Schedules
health service
mental health
Mental Health
Randomized Controlled Trials
Databases
promotion
Control Groups
Research
homework
study group
coding
Group
inclusion
expert
decision making
interpretation
present

Keywords

  • Child mental health
  • Common elements
  • Engagement
  • Service use

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Education
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Identifying the Common Elements of Treatment Engagement Interventions in Children's Mental Health Services. / Lindsey, Michael A.; Brandt, Nicole E.; Becker, Kimberly D.; Lee, Bethany R.; Barth, Richard P.; Daleiden, Eric L.; Chorpita, Bruce F.

In: Clinical Child and Family Psychology Review, Vol. 17, No. 3, 2014, p. 283-298.

Research output: Contribution to journalReview article

Lindsey, Michael A. ; Brandt, Nicole E. ; Becker, Kimberly D. ; Lee, Bethany R. ; Barth, Richard P. ; Daleiden, Eric L. ; Chorpita, Bruce F. / Identifying the Common Elements of Treatment Engagement Interventions in Children's Mental Health Services. In: Clinical Child and Family Psychology Review. 2014 ; Vol. 17, No. 3. pp. 283-298.
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