Substantial numbers of mental health clients do not return following their initial therapy visits or drop out of treatment prematurely.
Two general classes of strategies designed to reduce premature attrition and enhance treatment participation are reviewed.
Research on psychotherapy preparatory techniques (role induction, vicarious therapy pretraining, and experiential pretraining) indicates that these educational techniques are effective in reducing early treatment attrition and may be especially effective with populations at high risk for dropout (e.g., lower socioeconomic groups, chronically mentally ill clients, and institutionalized juvenile delinquents).
Motivational interviewing, a technique originally developed for clients with alcohol problems, is designed to reduce client ambivalence toward therapy and change and enhance commitment to and motivation for treatment.
Research in the alcohol field suggests that a session of pretreatment motivational interviewing enhances treatment outcome.
Both motivational interviewing and psychotherapy preparatory techniques are relatively brief and easy to incorporate into existing mental health care.
Mots-clés Pascal : Stratégie, Prévention, Abandon traitement, Psychothérapie, Trouble psychiatrique, Service santé, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Strategy, Prevention, Treatment dropout, Psychotherapy, Mental disorder, Health service, Mental health, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0295954
Code Inist : 002B18H05B. Création : 16/11/1999.