Ingoldsby Erin M
Prevention Research Center for Family and Child Health, Department of Pediatrics, University of Colorado Denver, Mail Stop #8410, 13121 E. 17th Ave., Room 5303, Aurora, CO 80045, USA.
J Child Fam Stud. 2010 Oct 1;19(5):629-645. doi: 10.1007/s10826-009-9350-2.
Engaging and retaining families in mental health prevention and intervention programs is critically important to insure maximum public health impact. We evaluated randomized-controlled trials testing methods to improve family engagement and retention in child mental health programs published since 1980 (N = 17). Brief, intensive engagement interventions in which providers explicitly addressed families' practical (e.g. schedules, transportation) and psychological (e.g. family members' resistance, beliefs about the treatment process) barriers as they entered treatment were effective in improving engagement in early sessions. The few interventions found to produce long-term impact on engagement and retention integrated motivational interviewing, family systems, and enhanced family stress and coping support strategies at multiple points throughout treatment. Few interventions have been tested in the context of prevention programs. There are promising approaches to increasing engagement and retention; they should be replicated and used as a foundation for future research in this area.
让家庭参与并持续参与心理健康预防和干预项目对于确保实现最大的公共卫生影响至关重要。我们评估了自1980年以来发表的测试改善家庭参与和持续参与儿童心理健康项目方法的随机对照试验（N = 17）。简短、密集的参与干预措施，即提供者在家庭进入治疗时明确解决其实际障碍（如日程安排、交通）和心理障碍（如家庭成员的抵触情绪、对治疗过程的看法），在提高早期阶段的参与度方面是有效的。少数被发现对参与和持续参与产生长期影响的干预措施在整个治疗过程中的多个环节整合了动机访谈、家庭系统以及增强的家庭压力和应对支持策略。很少有干预措施在预防项目的背景下进行过测试。有一些有前景的方法来提高参与度和持续参与度；它们应该被复制并作为该领域未来研究的基础。
