Adolescent adherence to psychosocial treatment: Mental health clinicians' perspectives on barriers and promoters

Poor adolescent adherence to mental health psychosocial treatment significantly undermines effectiveness. Approximately one-third of all youth drop out or prematurely terminate from psychosocial treatment. This study examined youth adherence to psychosocial treatment from the perspective of communit...

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Bibliographic Details
Published in:Psychotherapy research 2012-05, Vol.22 (3), p.317-326
Main Authors: Gearing, Robin E., Schwalbe, Craig S., Short, Kristin D.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior
Adult
aliança terapêutica
alliance
Allianz
Angst
ansia
ansiedade
anxiety
Attitude of Health Personnel
child psychotherapy
Community Mental Health Services
depression
depressione
depressão
Female
Focus Groups
Humans
Inanspruchnahme von Dienstleistungen im Bereich psychischer Gesundheit
Investigação sobre os serviços de Saúde Mental
Kinder- und Jugendpsychotherapie
Male
Mental Disorders - therapy
mental health service utilization
mental health services research
Middle Aged
New York
Outpatients
Patient Compliance
Patient Dropouts
process research
processo de investigação
Prozessforschung
psicoterapia com crianças
psicoterapia infantile
ricerca sul process
servizi di salute mentale
Social Work
utilização de serviços de saúde mental
utilizzo dei servizi di salute mentale
Versorgungsforschung
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Summary:Poor adolescent adherence to mental health psychosocial treatment significantly undermines effectiveness. Approximately one-third of all youth drop out or prematurely terminate from psychosocial treatment. This study examined youth adherence to psychosocial treatment from the perspective of community-based mental health clinicians (n =34) interviewed across three focus groups. A grounded theory analysis was applied to investigate the promoters and barriers influencing adolescent adherence to treatment. Clinicians identified four domains (adolescent, family, clinician, and agency) that serve as promoters and barriers to adherence. Barriers to adherence were located primarily in adolescent and family domains, whereas promoters were attributed within the clinician domain. Understanding of the complex influences on adolescent adherence may facilitate increased awareness and intervention options for clinicians.
ISSN:1050-3307
1468-4381
DOI:10.1080/10503307.2011.653996