Clients' engagement with assertive outreach services: a comparison of client and staff perceptions of engagement and its impact on later engagement.

Background: Studies have shown the effectiveness of assertive outreach services in engaging clients with severe mental health problems. However, there is little research examining this engagement process in more detail.Aims: This study developed a reliable self-report measure of engagement based on...

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Publicado en:Journal of Mental Health Vol. 13; no. 5; pp. 439 - 453
Autores principales: Gillespie M, Smith J, Meaden A, Jones C, Wane J
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2004
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2004
      vid: 13
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Clients' engagement with assertive outreach services: a comparison of client and staff perceptions of engagement and its impact on later engagement.
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          Gillespie M
          Smith J
          Meaden A
          Jones C
          Wane J
        affil: Clinical Psychology Department, School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; morna.gillespie@bsmht.nhs.uk
      sug:
        subj:
          Help Seeking Behavior Evaluation
          Instrument Validation
          Mental Health Services
          Patient Attitudes
          Patient Compliance
          Professional-Patient Relations
          Psychotic Disorders
          Adult
          Attitude of Health Personnel
          Clinical Assessment Tools
          Coefficient alpha
          Comparative Studies
          Convenience Sample
          Correlation Coefficient
          Descriptive Statistics
          Discriminant Validity
          Face Validity
          Female
          Health Services Research
          Internal Consistency
          Interrater Reliability
          Male
          Middle Age
          Observational Methods
          P-Value
          Predictive Validity
          Psychological Tests
          Self Report
          Summated Rating Scaling
          Test-Retest Reliability
          Validation Studies
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Studies have shown the effectiveness of assertive outreach services in engaging clients with severe mental health problems. However, there is little research examining this engagement process in more detail.Aims: This study developed a reliable self-report measure of engagement based on Hall, Meaden, Smith, & Jones' (2001) observer-rated measure of engagement. The study investigated whether a self-report measure predicted clients' engagement with assertive outreach services 6 months later. The research also compared client and keyworker perceptions of engagement.Method: Twenty-five clients and their keyworkers, from three assertive outreach teams were interviewed.Results: The engagement measure (self-report version) was found to have good test-retest and internal reliability. Staff and client ratings were correlated at Time 1 but not at Time 2. Staff ratings at Time 1 were predictive of staff ratings at Time 2. Client ratings were not predictive of client ratings 6 months later. Items on the measures had different correlations with overall engagement for clients and staff, although there was some overlap.Conclusions: The engagement measure (self-report version) is quick, easy and reliable and can be used in conjunction with the observer version. The measure has significant clinical and research value.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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