Motivational interviewing to increase outpatient attendance for adolescent psychiatric patients.
Abstract
Motivational interviewing (MI) is a therapeutic technique that has been demonstrated to increase adherence to various treatment regimens. Nonattendance at outpatient appointments is associated with read-mission to psychiatric hospitals. The purpose of the current study was to examine the effectiveness of MI in promoting treatment adherence and increasing pediatric attendance rates at patients' first follow-up appointment after inpatient admission. A sample of 111 patients discharged from one of two child and adolescent units at an urban, inpatient psychiatric hospital in Southwestern Pennsylvania participated in the MI discharge process. Compared to hospital population data from 1 month prior to the current study, the MI discharge process demonstrated an increase of approximately 10% in attendance at the scheduled follow-up appointments and a decrease of approximately 4% in cancellations and no-show appointments. It was concluded that particularly for adolescents, MI may be a valuable treatment approach grounded in partnerships with health care providers, patients, and families to enhance outpatient appointment attendance. [Journal of Psychosocial Nursing and Mental Health Services, 56(6), 31-35.].
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Research has shown that single sessions or two 15-minute MI sessions enhance motivation for mental health treatment.
“Research has shown that single sessions or two 15-minute MI sessions enhance motivation for mental health treatment.52,53”
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- Authors
- Chiappetta, L., Stark, S., Mahmoud, K. F., Bahnsen, K. R., & Mitchell, A. M.
- Venue
- Journal of Psychosocial Nursing and Mental Health Services
- Publisher
- SLACK, Inc.
- Published
- 2018-06
- Volume
- 56
- Issue
- 6
- Pages
- 31-35
- ISSN
- 0279-3695 (ISSN-L)
- 1938-2413
- OpenAlex
- W2793837185
- Cited by
- 12
- References
- 21
- Citations by year
- 2024: 1 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosocial Nursing and Mental Health Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Keywords
- motivational interviewing, adolescent psychiatric patients, medication adherence, hospital discharge, follow-up visits, appointment cancellation, inpatient psychiatric hospitalization, child psychiatry, patient-provider partnership
- MeSH terms
- Adolescent, Appointments and Schedules, Mental Disorders, Child, Family, Female, Hospitalization, Humans, Male, Outpatients, Patient Compliance, Patient Discharge, Pennsylvania, Motivational Interviewing
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