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首页> 外文期刊>Child and Adolescent Social Work Journal >Engagement in Mental Health Treatment Among Adolescents and Young Adults: A Systematic Review
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Engagement in Mental Health Treatment Among Adolescents and Young Adults: A Systematic Review

机译:参与青少年心理健康治疗:系统评价

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摘要

The purpose of the present study is to review empirical evidence of the effects of interventions designed to improve engagement in mental health services among adolescents, young adults and their families. Investigators searched relevant databases, prior reviews, and conducted hand searches for intervention studies that met the following criteria: (1) examined engagement in mental health services; (2) included a comparison condition; and (3) focused on adolescents and/or young adults. Effect sizes for all reported outcomes were calculated. Thirteen studies met inclusion criteria. Conceptualizations of engagement and measurement approaches varied throughout studies. Approaches to improving engagement varied in effectiveness based on level of intervention. Individual level approaches improved attendance during the initial stage of treatment. While family level engagement interventions increased initial attendance rates, the impact did not extend to the ongoing use of services, whereas service delivery level interventions were more effective at improving ongoing engagement. The review illuminated that engagement interventions framed in an ecological model may be most effective at facilitating engagement. Implications for future research and practice are discussed.
机译:本研究的目的是回顾旨在改善青少年,年轻人及其家庭参与心理健康服务的干预措施效果的经验证据。研究者搜索了相关的数据库,进行了事先审查,并进行了手动搜索,以寻找符合以下条件的干预研究:(1)检查了对精神卫生服务的参与; (2)包含比较条件; (3)针对青少年和/或年轻人。计算所有报告结果的效应量。十三项研究符合纳入标准。参与和衡量方法的概念化在整个研究中有所不同。根据干预程度的不同,提高参与度的方法的有效性也有所不同。在治疗的初始阶段,个人水平的方法改善了出勤率。尽管家庭层面的参与干预措施增加了初始出勤率,但影响并未扩展到持续使用服务上,而服务提供层面的干预措施在改善持续参与方面更为有效。审查表明,生态模型中的参与干预措施可能最有效地促进了参与。讨论了对未来研究和实践的影响。

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