Impact of a brief intervention to improve engagement in a recovery program for young adults with serious mental illness.

Autor: Munson MR; New York University, Silver School of Social Work, 1 Washington Sq. N, 10003 New York, NY, USA. Electronic address: michelle.munson@nyu.edu., Jaccard J; New York University, Silver School of Social Work, 1 Washington Sq. N, 10003 New York, NY, USA., Moore KL; New York University, Silver School of Social Work, 1 Washington Sq. N, 10003 New York, NY, USA., Rodwin AH; New York University, Silver School of Social Work, 1 Washington Sq. N, 10003 New York, NY, USA., Shimizu R; University of Alaska, School of Social Work, 3211 Providence Drive, Anchorage, AK 99508, USA., Cole AR; Fairleigh Dickinson University, 1000 River Rd, Teaneck, NJ 07666, USA., Scott LD Jr; Georgia State University, School of Social Work, 55 Park Pl, Atlanta, GA 3030, USA., Narendorf SC; University of Houston, Graduate College of Social Work, 3511 Cullen Blvd, Houston, TX 77204, USA., Davis M; University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA, USA., Gilmer T; University of California San Diego, Department of Family Medicine and Public Health, 9500 Gilman Drive, San Diego, CA, USA., Stanhope V; New York University, Silver School of Social Work, 1 Washington Sq. N, 10003 New York, NY, USA.
Jazyk: angličtina
Zdroj: Schizophrenia research [Schizophr Res] 2022 Dec; Vol. 250, pp. 104-111. Date of Electronic Publication: 2022 Nov 15.
DOI: 10.1016/j.schres.2022.11.008
Abstrakt: Objective: Serious mental illnesses (SMI) commonly emerge during young adulthood. Effective treatments for this population exist; however, engagement in treatment is a persistent challenge. This study examines the impact of Just Do You (JDY), an innovative intake-focused intervention designed to improve engagement in treatment and enhance personal recovery.
Methods: The study used a parallel group randomized trial to examine if and how JDY improved recovery among 121 young adults with SMI from low-resourced communities referred to personalized recovery-oriented services (PROS). Measures of engagement (buy-in and attendance) and personal recovery in this pilot study were assessed at baseline and 3-month follow-up.
Results: Participants in JDY reported more positive engagement outcomes; that is, relative to the control group they reported higher past two week attendance (b = 0.72, p < 0.05, Cohen's d = 0.56) and higher levels of buy-in to treatment (b = 2.42, p < 0.05, Cohen's d = 0.50). JDY also impacted young adults' personal recovery (b = 0.99, p < 0.05, Cohen's d = 1.15) and did so largely by increasing their level of buy-in to the treatment program.
Conclusion: This study suggests that an engagement intervention for young adults that orients, prepares, and empowers them to be active and involved in the larger treatment program makes a difference by improving engagement and enhancing recovery. Data also support conceptualizing and examining engagement beyond treatment attendance; in this study what mattered most for recovery was the level of buy-in to treatment among young adults.
Competing Interests: Declaration of competing interest None.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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