TY - JOUR
T1 - Strategies to predict, measure, and improve psychosocial treatment adherence
AU - Gearing, Robin E.
AU - Townsend, Lisa
AU - Elkins, Jennifer
AU - El-Bassel, Nabila
AU - Osterberg, Lars
PY - 2014/1
Y1 - 2014/1
N2 - Nonadherence to psychosocial and behavioral treatment is a significant public health problem that presents a barrier to recovery and effective treatment. An estimated 20% to 70% of individuals who initiate psychosocial mental health services discontinue treatment prior to clinicians' recommendations. Empirically supported, evidence-based, stand-alone or adjunctive psychosocial interventions treat an increasingly wide range of mental health conditions. A core assumption of most, if not all, interventions is that clients will fully and actively engage in the treatment protocol. Adherence to psychosocial treatment has received much less scientific attention, however, than adherence to medical treatment. Drawing extensively from existing research, this comprehensive review conceptualizes several types of psychosocial and behavioral treatment adherence, examines predictors of adherence to psychosocial treatment, summarizes measures of adherence, and describes existing interventions to enhance psychosocial treatment adherence.
AB - Nonadherence to psychosocial and behavioral treatment is a significant public health problem that presents a barrier to recovery and effective treatment. An estimated 20% to 70% of individuals who initiate psychosocial mental health services discontinue treatment prior to clinicians' recommendations. Empirically supported, evidence-based, stand-alone or adjunctive psychosocial interventions treat an increasingly wide range of mental health conditions. A core assumption of most, if not all, interventions is that clients will fully and actively engage in the treatment protocol. Adherence to psychosocial treatment has received much less scientific attention, however, than adherence to medical treatment. Drawing extensively from existing research, this comprehensive review conceptualizes several types of psychosocial and behavioral treatment adherence, examines predictors of adherence to psychosocial treatment, summarizes measures of adherence, and describes existing interventions to enhance psychosocial treatment adherence.
KW - Adherence
KW - Discontinuation
KW - Dropout
KW - Nonadherence
KW - Premature termination
KW - Psychosocial treatment
KW - Treatment compliance
KW - Treatment noncompletion
UR - http://www.scopus.com/inward/record.url?scp=84896767907&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896767907&partnerID=8YFLogxK
U2 - 10.1097/HRP.10.1097/HRP.0000000000000005
DO - 10.1097/HRP.10.1097/HRP.0000000000000005
M3 - Review article
C2 - 24394220
AN - SCOPUS:84896767907
VL - 22
SP - 31
EP - 45
JO - Harvard Review of Psychiatry
JF - Harvard Review of Psychiatry
SN - 1067-3229
IS - 1
ER -