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A Review of Parent Participation Engagement in Child and Family Mental Health Treatment

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Abstract

Engagement in child and family mental health treatment has critically important clinical, implementation, and policy implications for efforts to improve the quality and effectiveness of care. This article describes a review of the existing literature on one understudied element of engagement, parent participation. Twenty-three published articles were identified. Questions asked of the literature include what terms are used to represent parent participation engagement, how parent participation engagement is measured, what are the rates of parent participation engagement reported in studies of child and family mental health treatment, whether parent participation engagement has been found to overlap with attendance engagement, what factors have been identified as associated with parent participation engagement, whether parent participation engagement is associated with improved outcomes, and what strategies have been designed to improve PPE and whether such strategies are associated with improved outcomes. Results indicate varied terms and measures of parent participation engagement, moderate overall rates, and high overlap with measures of attendance engagement. The extant literature on factors associated with parent participation engagement was somewhat limited and focused primarily on parent-/family-level factors. Evidence of links between parent participation engagement and outcome improvements was found across some outcome domains, and strategies designed to target parent participation engagement were found to be effective overall. A framework for organizing efforts to examine the different elements of engagement is described, and findings are discussed in terms of suggestions for consistent terminology, clinical implications, and areas for the future research.

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Notes

  1. Articles were excluded if their only measure of participation engagement was number of total sessions attended or number of sesssions attended by the parent.

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Acknowledgments

The authors would like to acknowledge Cortney Janicki for her critical support in identifying and screening articles as well as manuscript assembly; Jennifer Cumiskey, Beth Janis, and Joella Phillips for their data entry efforts; Bill Ganger, MS for his assistance with the reliability analyses; Antonio Garcia, Ph.D. for his early contributions to conceptualizing this effort; and Ann Garland, Ph.D., Michael Lindsey, Ph.D., MPH, and Jonathan Martinez, Ph.D. for their comments on an earlier draft of this article as well as the editor and two anonymous reviewers. Research reported in this publication was supported by National Institute of Mental Health of the National Institutes of Health under award number K23MH080149 (PI: Rachel Haine-Schlagel). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Dr. Haine-Schlagel is an investigator with the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis, through an award from the National Institute of Mental Health (R25 MH080916-01A2) and the Department of Veterans Affairs, Health Services Research and Development Service, Quality Enhancement Research Initiative (QUERI).

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Psychology, San Diego State University, San Diego, CA, USA

    Rachel Haine-Schlagel

  2. Child and Adolescent Services Research Center, 3020 Children’s Way, MC 5033, San Diego, CA, 92123, USA

    Rachel Haine-Schlagel & Natalia Escobar Walsh

  3. Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA, USA

    Natalia Escobar Walsh

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  1. Rachel Haine-Schlagel
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  2. Natalia Escobar Walsh
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Correspondence to Rachel Haine-Schlagel.

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Haine-Schlagel, R., Walsh, N.E. A Review of Parent Participation Engagement in Child and Family Mental Health Treatment. Clin Child Fam Psychol Rev 18, 133–150 (2015). https://doi.org/10.1007/s10567-015-0182-x

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  • DOI: https://doi.org/10.1007/s10567-015-0182-x

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