Evidence map›Paper›PMID 26833597›Full record

ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2016

Treatment engagement of individuals experiencing mental illness: review and update.

Lisa B Dixon, Yael Holoshitz, Ilana Nossel

Erratum issued 2 registry-linked trialsAbstract read
In one paragraph

Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 229 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
229citing papers in PubMed, 20 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04711460 completednot on this mapstarted 2017, after this paper: background citation

Mindfulness, Group Therapy and Psychosis; Training Decreases Anxiety and Depression in Outpatients With a Psychotic Disorder in a Non-Randomized Within Group Comparison

TypeobservationalSponsorUniversity of MinnesotaRan2017 to 2019Enrolled116ConditionsPsychosisArmsYounger participants, Older participants, TAU, TAU + MIndfulness practice
NCT06410508 nacompletednot on this mapstarted 2024, after this paper: background citation

Evaluation of a Brief Intervention to Improve Engagement and Recovery for At-risk Youth Enrolled in Early Intervention Services for Psychosis .

TypeinterventionalSponsorNova Scotia Health AuthorityRan2024 to 2026Enrolled33ConditionsPsychotic Disorders, Psychiatric Hospitalization, Engagement, PatientArmsJust Do You
3 · Its place in the literature

Who cites it

229 citing papers in PubMed, 20 syntheses or guidelines pooled it.

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  3. What Do We Know About Sharing Power in Co-Production in Mental Health Research? A Systematic Review and Thematic Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024
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169 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Lisa B DixonColumbia University Medical Center; Division of Mental Health Services and Policy Research & Center for Practice Innovations, New York State Psychiatric Institute, New York, NY, USA.
Yael HoloshitzColumbia University Medical Center; Division of Mental Health Services and Policy Research & Center for Practice Innovations, New York State Psychiatric Institute, New York, NY, USA.
Ilana NosselColumbia University Medical Center; Division of Mental Health Services and Policy Research & Center for Practice Innovations, New York State Psychiatric Institute, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals living with serious mental illness are often difficult to engage in ongoing treatment, with high dropout rates. Poor engagement may lead to worse clinical outcomes, with symptom relapse and rehospitalization. Numerous variables may affect level of treatment engagement, including therapeutic alliance, accessibility of care, and a client's trust that the treatment will address his/her own unique goals. As such, we have found that the concept of recovery-oriented care, which prioritizes autonomy, empowerment and respect for the person receiving services, is a helpful framework in which to view tools and techniques to enhance treatment engagement. Specifically, person-centered care, including shared decision making, is a treatment approach that focuses on an individual's unique goals and life circumstances. Use of person-centered care in mental health treatment models has promising outcomes for engagement. Particular populations of people have historically been difficult to engage, such as young adults experiencing a first episode of psychosis, individuals with coexisting psychotic and substance use disorders, and those who are homeless. We review these populations and outline how various evidence-based, recovery-oriented treatment techniques have been shown to enhance engagement. Our review then turns to emerging treatment strategies that may improve engagement. We focus on use of electronics and Internet, involvement of peer providers in mental health treatment, and incorporation of the Cultural Formulation Interview to provide culturally competent, person-centered care. Treatment engagement is complex and multifaceted, but optimizing recovery-oriented skills and attitudes is essential in delivery of services to those with serious mental illness.

Indexed as

allianceEngagementfirst episode psychosisperson-centered carerecoveryschizophreniashared decision making

Identifiers

PMID26833597
PMCPMC4780300

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.