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    Transdiagnostic Motivational Enhancement Therapy to Reduce Treatment Attrition: Use in Emerging Adults

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    Authors
    Mistler, Lisa
    Sheidow, Ashli J.
    Davis, Maryann
    UMass Chan Affiliations
    Systems and Psychosocial Advances Research Center
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    2016-08-01
    Keywords
    emerging adults
    motivational enhancement therapy
    motivational interviewing
    treatment attrition
    treatment retention
    Behavioral Disciplines and Activities
    Mental and Social Health
    Mental Disorders
    Psychiatry
    Psychiatry and Psychology
    Therapeutics
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    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624213/
    Abstract
    Improving outcomes of youth with mental health (MH) needs as they transition into adulthood is of critical public health significance. Effective psychotherapy MH treatment is available, but can be effective only if the emerging adult (EA) attends long enough to benefit. Unfortunately, completion of psychotherapy among EAs is lower than for more mature adults (Edlund et al., 2002; Olfson, Marcus, Druss, and Pincus, 2002). To target the high attrition of EAs in MH treatment, investigators adapted a developmentally appropriate brief intervention aimed at reducing treatment attrition (TA) in psychotherapy and conducted a feasibility study of implementation. The intervention employs motivational interviewing strategies aimed at engaging and retaining EAs in outpatient MH treatment. Motivational enhancement therapy for treatment attrition, or MET-TA, takes only a few sessions at the outset of treatment as an adjunct to usual treatment. Importantly, it can be used for TA with psychotherapy for any MH condition; in other words, it is transdiagnostic. This article presents the first description of MET-TA, along with a case example that demonstrates important characteristics of the approach, and then briefly describes implementation feasibility based on a small pilot randomized controlled trial.
    Source

    Cogn Behav Pract. 2016 Aug;23(3):368-384. doi: 10.1016/j.cbpra.2015.09.007. Epub 2015 Oct 26. Link to article on publisher's site

    DOI
    10.1016/j.cbpra.2015.09.007
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46288
    PubMed ID
    28979088
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.cbpra.2015.09.007
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