Young Adult Perspectives on Treatment Engagement and Family Communication During Psychosis

Abstract

Background: Fostering positive relationships with mental health professionals and involving family in treatment can reduce untreated psychosis duration and prevent dropout. Aims: The present study explores the experiences of young adults with psychosis as they engage in mental health treatment and communicate with family caregivers. Describing their lived experiences would inform the clinical engagement process and pathways to clinical outcomes. Methods: We conducted qualitative interviews with 12 individuals who have been diagnosed with a psychotic disorder within the past 5 years. Results: Major themes include (1) Facilitators and barriers to robust treatment engagement, (2) Family involvement with treatment and communication about psychosis, and (3) Determinants of family communication quality. Discussion: These themes highlight the pivotal role of the therapeutic alliance, measured family involvement, and positive family communication in facilitating treatment engagement. We discuss these qualitative findings in the context of patient-centered care and family interventions.