Failure of parents to attend and engage in treatment is a significant barrier to
implementing effective interventions in child and adolescent mental health.
Approaches to enhance treatment attendance and participation have targeted both
structural operations of the clinic and aspects of the therapeutic process.
Little research, however, has looked at clinicians’ use of strategies
to enhance treatment participation. Fifty-one mental health practitioners
completed measures of strategies to increase treatment participation among
families of conduct problem children. Client attendance was collected for each
clinician over a 1-month period. As hypothesized, therapists were more aware of,
and reported greater use of, therapy process compared to structural approaches
to increase treatment participation. Clinician ratings of usefulness, competence
and willingness to use therapy process strategies predicted client appointment
attendance. The results are discussed in relation to the importance of training
and supervision of professionals working with families in mental health services
targeting a range of strategies to enhance treatment participation.
Angold, A.
,
Costello, E. J.
,
Burns, B. J.
,
Erkanli, A.
, &
Farmer, E.
(2000).
Effectiveness of non-residential specialty mental health services for
children and adolescents in the ‘real world’
. Journal of the American Academy of Child and Adolescent
Psychiatry, 39,
154-160
.
2.
Attride-Stirling, J.
,
Davis, H.
,
Farrell, L.
,
Groark, C.
, &
Day, C.
(2004).
Factors influencing parental engagement in a community child and adolescent
mental health service: A qualitative comparison of completers and non-completers
. Clinical Child Psychology and Psychiatry, 9,
1045-1059
.
3.
Bickman, L.
,
Andrade, A. R.
, &
Lamberrt, W.
(2002).
Dose response in child and adolescent mental health services
. Mental Health Services Research, 4,
57-70
.
4.
Brinkmeyer, M. Y.
,
Eyberg, S. M.
,
Nguyen, M. L.
, &
Adams, R. W.
(2004).
Family engagement, consumer satisfaction and treatment outcome in the new
era of child and adolescent in-patient psychiatric care
. Clinical Child Psychology and Psychiatry, 9,
553-566
.
5.
Carr, A.
,
McDonnell, D.
, &
Owen, P.
(1994).
Audit and family systems consultation: Evaluation of practice at a child
and family centre
. Journal of Family Therapy, 16,
143-157
.
6.
Conduit, T.
,
Byrne, S.
,
Court, J.
, &
Stefanovic, S.
(2004).
Non-attendance at a university-based psychology clinic: Telephone
appointment reminders versus no reminders
. Australian Psychologist, 39,
68-75
.
7.
Dawson, K.
, &
Berry, M.
(2002).
Engaging families in child welfare services: An evidence-based approach to
best practice
. Child Welfare, 81,
293-317
.
8.
Day, L.
, &
Reznikoff, M.
(1980).
Preparation of children and parents for treatment at a children’s
psychiatric clinic through videotaped modeling
. Journal of Consulting and Clinical Psychology, 48,
303-304
.
9.
Greeno, C. G.
,
Anderson, C. M.
,
Stork, C. M.
,
Kelleher, K. J.
,
Shear, M. K.
, &
Mike, G.
(2002).
Return to treatment after assessment in a community children’s
mental health clinic
. Psychiatric Services, 53,
624-626
.
10.
Hawkins, J. D.
, &
Catalano, R. F., Jr.
(1992). Communities that care: Action for drug abuse
prevention.
San Francisco, CA: Jossey-Bass
.
11.
Hoare, P.
,
Norton, B.
,
Chisolm, D.
, &
Parry-Jones, W.
(1996).
An audit of 7000 successive child and adolescent psychiatry referrals on Scotland
. Clinical Child Psychology and Psychiatry, 1,
229-249
.
12.
Holmes, D. S.
, &
Urie, R. G.
(1973).
Effects of preparing children for psychotherapy
. Journal of Consulting and Clinical Psychology, 43,
311-318
.
13.
Karver, M. S.
,
Handelsman, J. B.
,
Fields, S.
, &
Bickman, L.
(2006).
Meta-analysis of therapeutic relationship variables in youth and family
therapy: The evidence for different relationship variables in the child and
adolescent treatment outcome literature
. Clinical Psychology Review, 26,
50-65
.
14.
Kazdin, A. E.
(1990).
Premature termination from treatment among children referred for antisocial behaviour
. Journal of Child Psychology and Psychiatry, 31,
415-425
.
15.
Kazdin, A. E.
(1996).
Dropping out of child psychotherapy: Issues for research and implication
for practice
. Clinical Child Psychology and Psychiatry, 1,
133-156
.
16.
Littell, J. H.
(2001).
Client participation and outcomes of intensive family preservation services
. Social Work Research, 25,
103-113
.
17.
Luk, E. S. L.
,
Staiger, P. K.
,
Mathai, J.
,
Wong, L.
,
Birleson, P.
, &
Adler, R.
(2001).
Children with persistent conduct problems who drop out of treatment
. European Child and Adolescent Psychiatry, 10,
28-36
.
18.
McKay, M. M.
,
McCadam, K.
, &
Gonzales, J. J.
(1996).
Addressing the barriers to mental health services for inner city children
and their caretakers
. Community Mental Health Journal, 32,
353-361
.
19.
McKay, M. M.
,
Stoewe, J.
,
McCadam, K.
, &
Gonzales, J.
(1998).
Increasing access to child mental health services for urban children and
their caregivers
. Health and Social Work, 23,
9-15
.
20.
Manfred-Gilham, J. J.
,
Sales, E.
, &
Koeske, G.
(2002).
Therapist and case manager perceptions of client barriers to treatment
participation and use of engagement strategies
. Community Mental Health Journal, 38,
213-221
.
21.
Miller, G. E.
, &
Prinz, R. J.
(2003).
Engagement of families in treatment for childhood conduct problems
. Behavior Therapy, 34,
517-534
.
22.
Mirabito, D. M.
(2001).
Mining treatment termination data in an adolescent mental health service: A
quantitative study
. Social Work in Health Care, 33,
71-90
.
23.
Nock, M. K.
, &
Ferriter, C.
(2005).
Parent management of attendance and adherence in child and adolescent
therapy: A conceptual and empirical review
. Clinical Child and Family Psychology Review, 8,
149-166
.
24.
Nock, M. E.
, &
Kazdin, A. E.
(2005).
Randomized controlled trial of a brief intervention for increasing
participation in parent management training
. Journal of Consulting and Clinical Psychology, 73,
872-879
.
25.
Prinz, R. J.
, &
Miller, G. E.
(1994).
Family-based treatment for childhood antisocial behaviour: Experimental
influences on drop out and engagement
. Journal of Consulting and Clinical Psychology, 62,
645-650
.
26.
Sawyers, S. M.
,
Zalan, A.
, &
Bond, L. M.
(2002).
Telephone reminders improve adolescent clinic attendance: A randomized
controlled trial
. Journal of Paediatric Child Health, 38,
79-83
.
27.
Shirk, S. R.
, &
Russell, R. L.
(1996). Change processes in child psychotherapy: Revitalizing
treatment and research.
New York: Guilford Press
.
28.
Vernberg, E.
(2004, September).
Treatment of children with severe early-onset emotional disorder
. Paper presented at the Harvesting the Hope Across the Lifespan
The Mental Health Service Conference, Gold Coast, Queensland, Australia.
29.
Webster-Stratton, C.
(1998). Parent training with low-income families:
Promoting parental engagement through a collaborative approach. In
J. R. Lutzker
(Ed.), Handbook of child abuse research and treatment (pp.
183-210).
New York: Plenum
.
