When They Call, Will They Come? A Contextually Responsive Approach for Engaging Multistressed Families in an Urban Child Mental Health Center

Stern, Susan B.; Walsh, Margaret M.; Mercado, Micaela; Levene, Kathryn S.; Pepler, Debra; Carr, Ashley; Heppell, Allison; Lowe, Erin

doi:10.1177/1049731514548038

Cited by 7 publications

(1 citation statement)

References 110 publications

(130 reference statements)

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“…There was no evidence that interventions targeting relatives or significant others improved seeking professional help among people with mental health problems. As families and significant others can help to bring people with mental health problems in touch with services, interventions should not only increase knowledge and improve skills to encourage help-seeking, but also increase the self-efficacy of families and significant others as well as enhance family cohesion and functioning (Albright et al , 2012; Manuel et al , 2012; Stern et al , 2015). Primary care professionals increasingly play a role in providing mental health services (Angermeyer et al , 2017).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of interventions to promote help-seeking for mental health problems: systematic review and meta-analysis

et al. 2018

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Help-seeking is important to access appropriate care and improve mental health. However, individuals often delay or avoid seeking help for mental health problems. Interventions to improve help-seeking have been developed, but their effectiveness is unclear. A systematic review and meta-analysis were therefore conducted to examine the effectiveness of mental health related help-seeking interventions. Nine databases in English, German and Chinese were searched for randomised and non-randomised controlled trials. Effect sizes were calculated for attitudes, intentions and behaviours to seek formal, informal and self-help. Ninety-eight studies with 69 208 participants were included. Interventions yielded significant short-term benefits in terms of formal help-seeking, self-help, as well as mental health literacy and personal stigma. There were also positive long-term effects on formal help-seeking behaviours. The most common intervention types were strategies to increase mental health literacy, destigmatisation (both had positive short-term effects on formal help-seeking behaviours) as well as motivational enhancement (with positive long-term effects on formal help-seeking behaviours). Interventions improved formal help-seeking behaviours if delivered to people with or at risk of mental health problems, but not among children, adolescents or the general public. There was no evidence that interventions increased the use of informal help. Few studies were conducted in low- and middle-income countries (LMICs). This study provides evidence for the effectiveness of help-seeking interventions in terms of improving attitudes, intentions and behaviours to seek formal help for mental health problems among adults. Future research should develop effective interventions to improve informal help-seeking, for specific target groups and in LMICs settings.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of interventions to promote help-seeking for mental health problems: systematic review and meta-analysis

et al. 2018

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Strategies to Engage Underrepresented Parents in Child Intervention Services: A Review of Effectiveness and Co-occurring Use

et al. 2018

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The purpose of this review was to estimate the impact of parent engagement strategies tested with underrepresented families of young children with social, emotional, or behavioral disorders, and describe the combinations in which these strategies are commonly used together. We conducted a systematic review using the PracticeWise Engagement Coding System to identify which strategies had the strongest empirical support for engaging underrepresented (i.e., minority race or ethnicity, or low income) families receiving psychosocial services for their children. Social network analyses were used to identify the frequency of strategy use and how strategies were combined to engage underrepresented families. Linear regression was used to estimate the impact of each strategy on parent engagement, using attrition as a proxy for non-engagement. Thirty-five studies met inclusion criteria. Parent attrition was predicted by larger sample sizes, lower maternal education, interventions that were more community or home-based, less therapist monitoring, positive reinforcement from therapists, and more pairing families with peers. Social network analyses suggested that more effective strategies were more frequently implemented alone and less effective strategies were commonly combined with each other. Our findings suggest that researchers and practitioners require guidance in selecting engagement strategies to reduce attrition of underrepresented families in treatment. Although we identified promising strategies for improving parent engagement in treatment for underrepresented children with social, emotional, or behavioral disorders, the frequent combining of engagement strategies in research means that there is little data on the independent effects of interventions to increase parent engagement for this population.

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Using Conjoint Analysis to Inform Engagement in Head Start Parent Programs among Families Who Are Spanish-Speaking

2023

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When They Call, Will They Come? A Contextually Responsive Approach for Engaging Multistressed Families in an Urban Child Mental Health Center

Cited by 7 publications

References 110 publications

Effectiveness of interventions to promote help-seeking for mental health problems: systematic review and meta-analysis

Effectiveness of interventions to promote help-seeking for mental health problems: systematic review and meta-analysis

Strategies to Engage Underrepresented Parents in Child Intervention Services: A Review of Effectiveness and Co-occurring Use

Using Conjoint Analysis to Inform Engagement in Head Start Parent Programs among Families Who Are Spanish-Speaking

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