Does engagement with an intensive outreach service predict better treatment outcomes in ‘high‐risk’ youth?

Schley, Carsten; Yuen, Kally; Fletcher, Karen; Radovini, Alessandra

doi:10.1111/j.1751-7893.2011.00338.x

Cited by 27 publications

(42 citation statements)

References 27 publications

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“…1). Specialist mental health services are provided by community-based state-funded mental health services [18]. Their contact with young people in OoHC is typically ad hoc rather than organised systematically.…”

Section: Methodsmentioning

confidence: 99%

“…The young people are also less likely to have timely access to mental health care [9, 15–17]. Proactive, regular and voluntary help-seeking is infrequent among vulnerable young people [17, 18]. …”

Section: Introductionmentioning

confidence: 99%

“…Poor mental health among young people in OoHC is one such complex problem. Tackling this problem requires collaboration between mental health and social services, and is most likely to succeed when the partners are clear about their respective roles [45, 46] and understand the differences in their viewpoints about therapeutic approaches for young people with multiple and complex needs [18, 22]. Australian studies suggest that a prominent barrier to collaboration in OoHC is frustration among professionals related to a lack of common understanding of the young person’s situation arising from differing professional frameworks for addressing problem behaviours.…”

Section: Introductionmentioning

confidence: 99%

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A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

et al. 2016

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BackgroundOut-of-home care (OoHC) refers to young people removed from their families by the state because of abuse, neglect or other adversities. Many of the young people experience poor mental health and social function before, during and after leaving care. Rigorously evaluated interventions are urgently required.This publication describes the protocol for the Ripple project and notes early findings from a controlled trial demonstrating the feasibility of the work. The Ripple project is implementing and evaluating a complex mental health intervention that aims to strengthen the therapeutic capacities of carers and case managers of young people (12-17 years) in OoHC.MethodsThe study is conducted in partnership with mental health, substance abuse and social services in Melbourne, with young people as participants. It has three parts:1. Needs assessment and implementation of a complex mental health intervention; 2. A 3-year controlled trial of the mental health, social and economic outcomes; and 3. Nested process evaluation of the intervention.ResultsEarly findings characterising the young people, their carers and case managers and implementing the intervention are available. The trial Wave 1 includes interviews with 176 young people, 52% of those eligible in the study population, 104 carers and 79 case managers.ConclusionsImplementing and researching an affordable service system intervention appears feasible and likely to be applicable in other places and countries. Success of the intervention will potentially contribute to reducing mental ill-health among these young people, including suicide attempts, self-harm and substance abuse, as well as reducing homelessness, social isolation and contact with the criminal justice system.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12615000501549. Retrospectively registered 19 May 2015.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

et al. 2016

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“…However, parallel literature for offenders has shown a relationship between engagement (e.g., in offender rehabilitation treatment programmes) and risk factors (e.g., Schley, Yuen, Fletcher, & Radovini, 2012;Yang et al, 2013) suggesting that this is important to examine in the current study. In addition, the current study includes the Index of Multiple Deprivation for the crime location as a variable that may be predictive of victim engagement with the police.…”

Section: Victim Retraction Of Allegations Of Ipvmentioning

confidence: 98%

Understanding the factors that predict victim retraction in police reported allegations of intimate partner violence.

sleath¹,

Smith²

2017

Psychology of Violence

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Objective: A large number of victims of intimate partner violence (IPV), who report their victimization to the police, subsequently either retract or disengage from the police investigation. Given that we have a very limited understanding of victim retraction/disengagement in IPV cases, this study addresses this gap by identifying the victim, perpetrator, and offense characteristics that predict retraction/ disengagement. Method: Cases of police-reported IPV (n ϭ 524) were analyzed to examine victim, perpetrator, and offense characteristics that may predict retraction or disengagement as well as examining the reasons given for retracting/disengaging from the police investigation. Results: The results indicated a high level of retraction or disengagement from police investigations. Victim and perpetrator characteristics did not predict retraction or disengagement; however, in comparison with cases in which the victims maintain engagement with the case, a number of offense related characteristics (e.g., risk assessment level) did predict retraction and disengagement. Conclusions: Victim retraction and disengagement is a significant issue in the successful prosecution of IPV cases, and the findings suggest that certain offense related characteristics increase the likelihood of victim retraction/disengagement.

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“…Il n'y a actuellement pas de consensus sur une définition de l'engagement spécifique au contexte thérapeutique. La complexité de ces phénomènes et le fait qu'il ne s'agit pas d'entités discrètes dichotomiques ont été évoqués pour expliquer ce manque (Nock & Ferriter, 2005;O'Brien, Fahmy, & Singh, 2009;Schley, Yuen, Fletcher, & Radovini, 2012). Les termes : adhésion au traitement, assiduité, présence au rendez-vous, observance à la médication, alliance thérapeutique et résistances sont ainsi utilisés de façon interchangeable et parfois sans distinctions pour faire référence à l'engagement au traitement (Nock & Ferriter, 2005;Schley et al, 2012).…”

Section: L'engagement Au Traitementunclassified

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

Desrosiers

Saint-Jean

Laporte

2016

smq

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Malgré une vaste littérature sur l’abandon de traitement en pédopsychiatrie, les connaissances sur cette problématique chez l’adolescent avec trouble de personnalité limite (TPL) demeurent peu développées. Les conséquences d’un arrêt prématuré du traitement sont sérieuses considérant la récurrence de leurs conduites suicidaires. Afin de comprendre les processus associés à l’instabilité du mode de consultation de ces adolescents, une méthode de théorisation ancrée constructiviste avec un devis de cas multiples a été utilisée. Trente-quatre entrevues auprès de trois groupes d’informateurs (adolescent, parent et clinicien) ont été réalisées. Un modèle explicatif des facteurs de risque d’abandon, mais aussi des conditions susceptibles de favoriser la poursuite du traitement a été élaboré. Il identifie les déterminants de l’abandon qui sont spécifiques aux adolescents avec TPL et décrit les processus par lesquels ceux-ci interfèrent avec la poursuite du traitement. Deux moments critiques ont été mis en évidence. Le premier survient au moment de l’offre de traitement. Il est déterminé par les capacités du dispositif de soins à profiter de l’impulsion de la demande d’aide pour engager l’adolescent et le parent en tenant compte de leurs vulnérabilités à l’abandon. Le deuxième moment critique survient en cours de traitement. Il est marqué par les capacités du dispositif de soins à adopter des mesures correctives lorsqu’apparaissent des complications d’engagement. Ces résultats mettent en évidence l’importance des réponses du dispositif de soins et suggèrent que l’engagement des adolescents avec TPL devrait constituer un objectif thérapeutique au même titre que la réduction de la symptomatologie et des problèmes de vie.

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Does engagement with an intensive outreach service predict better treatment outcomes in ‘high‐risk’ youth?

Cited by 27 publications

References 27 publications

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

Understanding the factors that predict victim retraction in police reported allegations of intimate partner violence.

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

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