ArticleEuropean child & adolescent psychiatry2013
Treatment engagement in adolescents with severe psychiatric problems: a latent class analysis.
Article in European child & adolescent psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- A systematic review of mental health outcome measures for young people aged 12 to 25 years.BMC psychiatry · 2015Pooled it
- Typologies of Non-Suicidal Self-Injury Functions and Clinical Correlates Among Inpatient Youth.Child psychiatry and human development · 2024Article
- Self-perceived views on offender rehabilitation in detained adolescent boys: a qualitative analysis in the context of the good lives model.Frontiers in psychology · 2023Article
- Online administration of a pilot mindfulness-based intervention for adolescents: Feasibility, treatment perception and satisfaction.Current psychology (New Brunswick, N.J.) · 2022Article
- Perceived facilitators of and barriers to mental health treatment engagement among decision-making competent adolescents in Greece.BMC psychiatry · 2021Article
- Assessing overall functioning with adolescent inpatients.The Journal of nervous and mental disease · 2014Article
- Latent Classes of Symptoms related to Clinically Depressed Mood in Adolescents.Scandinavian journal of child and adolescent psychiatry and psychology · 2014Article
- Psychopharmacological treatment in children: always keeping an eye on adherence and ethics.European child & adolescent psychiatry · 2013Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Motivation is considered a pivotal factor in treatment, but a better understanding of this topic is needed. Drieschner et al. (Clin Psychol Rev 23:1115-1137, 2004) proposed to distinguish treatment motivation and treatment engagement. This study aimed to discover whether it is possible to identify classes of adolescents with severe psychiatric problems having comparable profiles of treatment engagement. To this end, professionals filled out the Treatment Engagement Rating Scale 5 times for 49 adolescents (mean age 18.3 years; SD = 1.6) during the first year of case management treatment. Using a longitudinal latent class analysis, the number of profiles of treatment engagement was investigated and described. Results identified three profiles: high (19 clients, 39%), medium (20 clients, 41%) and low (10 clients, 20%). Adolescents with a high engagement profile were at first equally, and later on more engaged in treatment than clients with a medium engagement profile. Adolescents with a low engagement profile made the least effort to engage, except after 30 weeks. Adolescents with a low engagement profile were often substance-dependent males with the lowest scores on the Global Assessment of Functioning Scale after a year. Only adolescents with a high engagement profile improved on global functioning. In conclusion, it is possible to identify different treatment engagement profiles by asking one question about level of global treatment engagement. Frequent assessment of engagement of the individual client as well as including a behavioural component into assessment and treatment may help to improve case management treatment for adolescents with medium and low engagement profiles.
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