Transdiagnostic Motivational Enhancement Therapy to Reduce Treatment Attrition: Use in Emerging Adults
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Document Type
Journal ArticlePublication Date
2016-08-01Keywords
emerging adultsmotivational 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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Show full item recordAbstract
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.2015.09.007Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46288PubMed ID
28979088Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.cbpra.2015.09.007