Client Participation: Central and Underinvestigated Elements of Intervention

Littell, Julia H.; Alexander, Leslie B.; Reynolds, William W.

doi:10.1086/591880

Cited by 97 publications

(104 citation statements)

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“…attendance, adherence, retention, attrition, maintain service, drop-out, premature termination, and compliance) appear interchangeably in the literature. When client engagement emerges in empirical studies, conceptual definitions vary broadly and frequently refer to clients keeping appointments and staying in treatment (Littell et al 2001). On the other hand, in the practice literature, the term engagement commonly refers to the early stage of activities with clients, whether the emphasis is on cooperation during sessions (Prinz and Miller 1994), emotional involvement in sessions and progress toward goals (Cunningham and Henggeler 1999), or some other aspect of the help-seeking process.…”

Section: The Concept Of Engagementmentioning

confidence: 99%

Engagement in Mental Health Treatment Among Adolescents and Young Adults: A Systematic Review

Kim

Munson

McKay

2012

Child Adolesc Soc Work J

120

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The purpose of the present study is to review empirical evidence of the effects of interventions designed to improve engagement in mental health services among adolescents, young adults and their families. Investigators searched relevant databases, prior reviews, and conducted hand searches for intervention studies that met the following criteria: (1) examined engagement in mental health services; (2) included a comparison condition; and (3) focused on adolescents and/or young adults. Effect sizes for all reported outcomes were calculated. Thirteen studies met inclusion criteria. Conceptualizations of engagement and measurement approaches varied throughout studies. Approaches to improving engagement varied in effectiveness based on level of intervention. Individual level approaches improved attendance during the initial stage of treatment. While family level engagement interventions increased initial attendance rates, the impact did not extend to the ongoing use of services, whereas service delivery level interventions were more effective at improving ongoing engagement. The review illuminated that engagement interventions framed in an ecological model may be most effective at facilitating engagement. Implications for future research and practice are discussed.

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Section: The Concept Of Engagementmentioning

confidence: 99%

Engagement in Mental Health Treatment Among Adolescents and Young Adults: A Systematic Review

Kim

Munson

McKay

2012

Child Adolesc Soc Work J

120

100

View full text Add to dashboard Cite

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“…However, little literature exists regarding the barriers in access and utilization outcomes as perceived by racial and ethnic minority consumers (Buston, 2002;Littell, Alexander, & Reynolds, 2001;Snowden, 2003). The historical and socio-cultural contextual factors relating to racial/ethnic bias in health outcomes can be investigated as having a possible role in the reduction and elimination of disparities in mental health services (Bachrach & Newcomer, 2002;DHHS, 2001;Snowden, 2003).…”

Section: Introductionmentioning

confidence: 99%

Disparities in Mental Health Service Utilization among Low-Income African American Adolescents: Closing the Gap by Enhancing Practitioner’s Competence

Copeland

2006

Child Adolesc Soc Work J

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“…Emphasis on the centrality of the service provider-client relationship in service delivery has generated interest in documenting whether this promotes program engagement (Korfmacher, 1998;Littell, Alexander, & Reynolds, 2001;Sue, 1998). Using data from a national network of a home-based family support programs aimed at preventing child abuse, McCurdy, Gannon, and Daro (2003), found the ethnic match hypothesis supported only for African American parents and, to some extent, for non-English speaking Latina parents.…”

Section: Empirical Studies Of Program Approaches To Cultural Competencementioning

confidence: 99%

Cultural relevance as program‐to‐community alignment

Mistry

Jacobs

2009

Journal Community Psychology

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Calls for cultural sensitivity in the design and implementation of human services programs have become a standard response to the increasing diversity among the families and communities being served. In this article, we take a critical look at the construct, using data from a multiyear evaluation of a statewide family support program. We examine how selected, locally implemented programs operationalize the state program's cultural sensitivity standard, using both etic and emic approaches; that is, we apply extant cultural competence definitions to assess program cultural sensitivity and document how the program staff articulated their approach to the cultural sensitivity. Findings suggest that programs focus more directly on the immediate cultural relevance of their services, rather than on developing more generalized competencies among their staff. Further, findings indicate that program-to-community alignment may well be a more useful representation of how programs address cultural issues. C 2009 Wiley Periodicals, Inc.Calls for cultural sensitivity in the design and implementation of human services programs have become a standard response to the increasing diversity among the families and communities being served. This program disposition, described interchangeably as cultural competence, cultural awareness, cultural sensitivity, cultural responsiveness, and the achievement of cultural ''match,'' has significant cachet in the practice literature, although there are few precise definitions of what it is and little research on its effectiveness. In this article, we take a critical look at the construct, using data from a multi-year evaluation of a statewide family support program. We examine how selected, locally implemented programs operationalize the state program's cultural sensitivity standard and discuss the implications of our findings for the development of a more contextualized construct.The program under discussion provides support and information to first-time parents-age 20 and under-toward the goal of optimizing children's development, reducing child maltreatment and repeat pregnancies, and encouraging parental educational and economic achievement. The program model has a set of specific standards to which locally implemented programs are expected to adhere, including the requirement that services be offered within a culturally sensitive framework, i.e., relevant for the particular communities being served. Embedded in a large-scale evaluation that included both implementation-focused and outcome-focused components, 1 the present study was designed to apply extant cultural competence definitions to assess the extent to which locally implemented programs were addressing the cultural sensitivity standard and to understand how the program staff articulated their approach to cultural sensitivity. BACKGROUND AND SIGNIFICANCE

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Client Participation: Central and Underinvestigated Elements of Intervention

Cited by 97 publications

References 0 publications

Engagement in Mental Health Treatment Among Adolescents and Young Adults: A Systematic Review

Engagement in Mental Health Treatment Among Adolescents and Young Adults: A Systematic Review

Disparities in Mental Health Service Utilization among Low-Income African American Adolescents: Closing the Gap by Enhancing Practitioner’s Competence

Cultural relevance as program‐to‐community alignment

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