Activation, Self-management, Engagement, and Retention in Behavioral Health Care

What can patients do to facilitate shared decision making? A qualitative study of patients with depression or schizophrenia and psychiatrists

“…This includes active patient behaviors such as providing information, asking questions and preparing for consultations [15,17], which are consistent with our categories ''informing the doctor and giving feedback'' and ''engagement and active participation during the consultation''. Also the category ''openness and honesty'' is close to these communicative aspects and has also been judged as competent patient behavior in the consultation [18].…”

“…Several authors have already linked these aspects of patient-clinician communication with actual decision making [15,19].…”

“…There is, however, evidence on patient activation, an issue closely related to SDM. Here, it has been shown that providing patients' with certain skills (e.g., asking questions, verifying information) can lead to more active involvement in decision making, better adherence or better health outcomes [13][14][15].…”

Interventions to Increase Retention in Mental Health Services: A Systematic Review

“…The ES for Alegría and colleagues (29) was not calculated because proportions of each group retained were not reported. However, the authors stated that there was no intervention effect on retention.…”

Characteristics of Community Mental Health Clinics Associated With Treatment Engagement

“…The data for this study came from a multisite, randomized controlled trial of client activation and a self-management intervention set in 13 community mental health clinics across the country and in one U.S. territory (10). Clients participated in three research interviews and gave consent to have their medical records reviewed for diagnoses, treatment type, and appointments scheduled and attended.…”