The Cambridge Health Alliance Center for Multicultural Health Research delivered the Right Question Project – Mental Health (RQP-MH) intervention, with minority patients receiving mental health services. This intervention included a Question Formulation Technique (QFT) and a Framework for Accountable Decision-Making (FADM), two techniques developed by the Right Question Institute. The RQP-MH intervention aimed to improve patient-provider interactions and to increase patient involvement and decision making, by building patients’ skills to obtain information from providers, clarify expectations of treatment, and become active participants in care. This study implemented RQP-MH in a three-pronged approach:
- RQP-MH Coaching to Care Managers
- RQP-MH Trainings for Patients
- Treatment Adherence and Fidelity Checks
After adjusting for age, sex, race/ethnicity, and education, intervention subjects were over three times more likely to be retained in treatment than comparison patients. In terms of engagement, intervention patients were over four times more likely to be engaged in care than comparison patients. When assessing the intensity of visits for having at least one visit, intervention subjects were 28% more likely to be engaged in treatment than comparison patients.
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