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Summary
Engaging resistant families in therapy is challenging. Therapists with dual roles as counselors improved recruitment effectiveness and cost efficiency by 77% and twofold, respectively.
Area of Science:
- Family Therapy
- Clinical Psychology
- Healthcare Management
Background:
- Family therapy engagement faces resistance from many families.
- This study focuses on strategies for recruiting
- resistant
- families into therapy.
Observation:
- Recruitment challenges include patient refusal to allow family contact (two-thirds of non-engaged cases).
- Black families presented greater recruitment difficulties compared to white families.
- Therapists serving dual roles (therapist and drug counselor) demonstrated enhanced recruitment outcomes.
Findings:
- Twenty-one principles and techniques for engaging resistant families are presented.
- Dual-role therapists achieved 77% complete family recruitment.
- Dual-role therapists were twice as cost-efficient in recruitment efforts.
Implications:
- Therapist administrative control and dual roles can significantly improve family therapy recruitment.
- Understanding barriers, such as patient refusal and racial disparities, is crucial for effective engagement.
- The findings suggest a more cost-effective model for family therapy recruitment.