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Adaptation, personalization and capacity in mental health treatments: a balancing act?
Open accessAbstract
PURPOSE OF REVIEW: There are increasing calls for mental health treatments to be adapted for different groups to maximize their acceptability and benefit to patients. However, adaptations can be costly to develop and evaluate, difficult to implement in routine clinical practice and may reduce service capacity at a time when there is unprecedented unmet need. An alternative method is personalization on an individual level. This review provides an overview of the issues related to personalization and adaptation of mental health interventions. RECENT FINDINGS: Several terms have been used to describe changes to existing therapies, these reflect different extents to which existing treatments have been changed. Evidence-based practice and modular therapies allow a level of flexibility within intervention delivery without formal changes and not all changes to therapy should be considered as a new/adapted treatment but instead regarded as 'metacompetence'. Implementing existing interventions in new contexts is preferable to developing new interventions in many instances. New guidance outlines how researchers can adapt and transfer interventions to varied contexts. SUMMARY: The review provides proposed definitions of different changes to therapy. Modified and personalized treatments may improve acceptability to patients whilst maximizing implementation of evidence-based practice within clinical services.
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Adaptive treatment models that tailor interventions to an individual's changing needs and capacities can enhance the effectiveness of interventions.
“Additionally, the integration of adaptive treatment models that tailor interventions to an individual’s changing needs and capacities, as discussed by Bennett and Shafran [43], can enhance the effectiveness of these interventions by ensuring that they remain relevant over time.”
From Mental Health in Healthcare Workers Post-COVID-19: A Latin American Review and Insights into Personalized Management Strategies (2024) · cites this paper as [43]
The Personalization section describes using weekly symptom and goal measurements to guide treatment choices, and the Conclusion says personalized treatments may improve relevance and acceptability. But the Adaptation versus Implementation section says increased efficacy from adaptation has yet to be established; the paper does not show that tailoring to changing individual capacities improves effectiveness over time. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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Metadata
- Authors
- Bennett, S. D., & Shafran, R.
- Affiliations
- University College London (GB)
- Corresponding author
- Bennett, Sophie D.
- Venue
- Current Opinion in Psychiatry
- Published
- 2022-10-22
- Volume
- 36
- Issue
- 1
- Pages
- 28-33
- ISSN
- 0951-7367 (ISSN-L)
- 1473-6578
- PMC
- PMC9794160
- OpenAlex
- W4307497367
- Cited by
- 36
- References
- 26
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 11 · 2023: 7
- FWCI
- 7.57
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current Opinion in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- personalized treatment, service capacity, evidence-based practice, meta-competencies, intervention implementation, unmet mental health needs, treatment acceptability, intervention transfer
- MeSH terms
- Delivery of Health Care, Humans, Mental Health, Psychotherapy, Evidence-Based Practice
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