Adolescent engagement in a stepped care, transdiagnostic mental health intervention delivered in Indian schools

Gellatly, Resham, Boustani, Maya, Nair, Pooja, Mahajan, Rujuta, Jambhale, Abhijeet, Sahu, Rooplata, Chodankar, Bindiya, Krishna, Madhuri, Malik, Kanika, Mathur, Sonal, Becker, Kimberly, Michelson, Daniel, Patel, Vikram and Chorpita, Bruce (2024) Adolescent engagement in a stepped care, transdiagnostic mental health intervention delivered in Indian schools. Discover Psychology, 4 (1). ISSN 2731-4537 (In Press)

[thumbnail of Gellatly_student engagement_step2.pdf] Text
Gellatly_student engagement_step2.pdf - Published Version
Available under License Creative Commons Attribution.

Download (672kB)


Given the relationship between poor engagement and worse treatment outcomes, improving engagement has been the focus of attention in recent years. Engagement is a particular challenge among minoritized and otherwise challenged youth, such as those from socioeconomically disadvantaged groups, including youth in low- and middle-income countries (LMICs), where they face lower levels of access to resources, including mental health treatment. The present study describes engagement challenges that arose in an uncontrolled pre-post evaluation of a school-based, modular, multi-problem, stepped-care intervention delivered in urban Indian communities. Specifically, the study aimed to (1) characterize barriers and facilitators of youth treatment engagement; and (2) evaluate treatment acceptability and fit of treatment from the youth perspective. Youth participants completed semi-structured interviews, which were transcribed and coded using thematic analysis. Participants described numerous facilitators to engagement (e.g., positive therapeutic relationship) and reported high overall satisfaction with the intervention, while also identifying barriers to engagement (e.g., concerns about confidentiality) and offering suggestions to increase fit and acceptability (e.g., more visually appealing treatment materials). Findings highlight ways in which engagement can be enhanced and implementation supports improved to maximize treatment effectiveness among minoritized and disadvantaged youth in LMICs.

Item Type: Article
Keywords: Low- and Middle-Income Countries (LMICs) | Engagement | Mental Health Treatment
Subjects: Social Sciences and humanities > Psychology > General Psychology
Social Sciences and humanities > Social Sciences > Social Sciences (General)
JGU School/Centre: Jindal School of Psychology & Counselling
Depositing User: Subhajit Bhattacharjee
Date Deposited: 18 Apr 2024 17:27
Last Modified: 18 Apr 2024 17:27
Official URL:


Downloads per month over past year

Actions (login required)

View Item
View Item