Engagement at the Intake/Assessment: Mission Impossible

Journal of Addictions & Offender Counseling, 2011

Substance abuse treatment agencies serving youth face unique barriers to providing quality care. Interviews with 17 adolescent programs found that family engagement, community involvement, and gender and diversity issues impacted treatment delivery. Programs report organizational change efforts with implications for future process improvement initiatives.

ACKNOWLEDGMENTS This publication contains information on various drug abuse counseling approaches, written by representatives of many well-known treatment programs. Although the counseling approaches included are used in some of the best known and most respected treatment programs in this country, it has not been determined whether all of these counseling models are equally effective. These various approaches are presented in an identical outline form so that the reader can compare and contrast the many treatment models described and learn more about the roles of the counselor and subject in a particular model.

Child and Adolescent Mental Health, 2012

Background: The effectiveness of a training programme targeting structural and therapy process strategies to enhance treatment attendance among families of conduct problem children was evaluated across three community mental health clinics. Method: Utilising a staggered multiple-baseline design, referrals prior to clinician training were compared to posttraining referrals (N = 221). Results: In comparison to service as usual, children and their families referred after the training initiative had significantly higher treatment attendance (66% vs. 83%) and 79% less likelihood of attrition, though findings were mixed for childÕs mental health. Conclusions: The findings provide initial support for the effectiveness of the clinician training programme in increasing treatment involvement.

Journal of Substance Abuse Treatment, 2007

Researchers have questioned whether the addictions treatment infrastructure will be able to deliver high quality care to the large numbers of people in need. In this context, the Robert Wood Johnson Foundation (RWJF) and Center for Substance Abuse Treatment (CSAT) created a nationwide network to improve access and retention in treatment. Applicant agencies described results of an admissions process "walk-through." This qualitative study used narrative text from 327 applications to RWJF, focusing on admissions-related problems. We developed and applied a coding scheme, then extracted themes from code-derived text. Primary themes described problems reported during treatment admissions: poor staff engagement with clients, burdensome procedures and processes, difficulties addressing the clients' complex lives and needs, and infrastructure problems. Sub-themes elucidated specific process-related problems. Though findings from our analyses are descriptive and exploratory, they suggest the value of walk-through exercises for program assessment and programlevel factors that may affect treatment access and retention.

The present controlled study was the first to demonstrate a method of improving first session attendance in a population of conduct disordered and substance abusing adolescents. The results indicated that an intensive intervention involving the youth and parent was more effective in improving session attendance than a less intensive intervention that excluded the youth's involvement. The intensive intervention resulted in greater attendance to the first appointment (60% vs. 89%), greater attendance to appointments throughout the study (57% vs. 83%), and greater promptness to sessions that were attended (5.8 mins. vs. 0.8 mins.). Implications of this study are discussed in light of these results. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-342-9678.

2004

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Brief Treatment and Crisis Intervention, 2004

This article focuses on an attempt to integrate evidence-based engagement interventions into ''real world'' outpatient child mental health settings in order to increase access to care for urban youth and their families. More specifically, empirical support for introducing engagement interventions into child clinical settings will be reviewed. Then, specific engagement interventions that are delivered during the initial telephone contact with a child's adult caregiver or during the first face-to-face contact with a child and family are described with attention paid to the training necessary to assist service providers in adopting this change in practice. Factors that serve to facilitate or impede adoption of evidence-based engagement interventions are also reviewed. Finally, preliminary evidence for the effectiveness of integrating such evidence-supported approaches is presented. [Brief Treatment and Crisis Intervention 4:177-186 (2004)] KEY WORDS: engagement, access, child mental health service use, evidence-based interventions.

This paper examines the differences in therapeutic approach used when treating court- mandated clients, couples, and families. A literature review is conducted to find proven methods that can be used to help practitioners create positive therapeutic outcomes when treating court mandated clients and their families. The author proposes that an ethical element involved in treating mandated clientele includes being aware of dynamics that can create positive therapeutic outcomes with this clientele through research, training, and education.

The Journal of Behavioral Health …, 1995

As the delivery and reimbursement methods for