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Engagement strategies in an assertive outreach context: a mixed-methods systematic review.

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Title: Engagement strategies in an assertive outreach context: a mixed-methods systematic review.
Authors: Berghmans, Ellen (AUTHOR), Vliegen, Nicole (AUTHOR), Destoop, Marianne (AUTHOR), Luyten, Patrick (AUTHOR)
Source: Journal of Mental Health. Dec2025, Vol. 34 Issue 6, p682-694. 13p.
Subjects: AMED (Information retrieval system), Medical information storage & retrieval systems, Patient autonomy, Community health services, Holistic medicine, Health services accessibility, Teams in the workplace, Respect, Interprofessional relations, Research funding, At-risk people, Caring, Continuum of care, Systematic reviews, MEDLINE, Patient-centered care, Thematic analysis, People with mental illness, Patient-professional relations, Convalescence, Social support, Patient participation, Integrated health care delivery, Psychology information storage & retrieval systems
Abstract: Background: Assertive outreach (AO) is a systematic approach to engage vulnerable patients with serious mental illness. Aims: This review aims to provide a comprehensive analysis of engagement strategies in relation to principles of the AO model to clarify effective components of AO, better understand engagement in an AO context, and consider encompassing change mechanisms. Methods: A systematic mixed-methods review was completed from 1806 to December 2022 (no pre-registration). Articles meeting the inclusion criteria were rated for methodological quality using the JBI scales and thematic synthesis using a meta-aggregative approach. Reporting was according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. Results: Eighteen articles met the inclusion criteria. The literature was defined by three main themes: definition and perspectives of engagement; key principles of AO in relation to engagement; and additional principles and strategies enhancing engagement. Conclusion: Despite the heterogeneity in defining engagement, the relationship between AO professionals and patients emerged as crucial in the process of engagement. Subsequently, the four key principles of AO emerged as central to promoting engagement. Finally, we identified a number of additional principles that are considered crucial in the engagement process in AO. The review concludes with recommendations for future research and the implementation of AO in routine clinical care. PRISMA/PROSPERO: The reporting of this review is conducted following the PRISMA guidance and not registered at PROSPERO because completed reviews cannot be registered. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Engagement strategies in an assertive outreach context: a mixed-methods systematic review.
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Berghmans%2C+Ellen%22">Berghmans, Ellen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vliegen%2C+Nicole%22">Vliegen, Nicole</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Destoop%2C+Marianne%22">Destoop, Marianne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Luyten%2C+Patrick%22">Luyten, Patrick</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Mental+Health%22">Journal of Mental Health</searchLink>. Dec2025, Vol. 34 Issue 6, p682-694. 13p.
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  Data: <searchLink fieldCode="DE" term="%22AMED+%28Information+retrieval+system%29%22">AMED (Information retrieval system)</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+autonomy%22">Patient autonomy</searchLink><br /><searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Holistic+medicine%22">Holistic medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Teams+in+the+workplace%22">Teams in the workplace</searchLink><br /><searchLink fieldCode="DE" term="%22Respect%22">Respect</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22At-risk+people%22">At-risk people</searchLink><br /><searchLink fieldCode="DE" term="%22Caring%22">Caring</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+mental+illness%22">People with mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+participation%22">Patient participation</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Assertive outreach (AO) is a systematic approach to engage vulnerable patients with serious mental illness. Aims: This review aims to provide a comprehensive analysis of engagement strategies in relation to principles of the AO model to clarify effective components of AO, better understand engagement in an AO context, and consider encompassing change mechanisms. Methods: A systematic mixed-methods review was completed from 1806 to December 2022 (no pre-registration). Articles meeting the inclusion criteria were rated for methodological quality using the JBI scales and thematic synthesis using a meta-aggregative approach. Reporting was according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. Results: Eighteen articles met the inclusion criteria. The literature was defined by three main themes: definition and perspectives of engagement; key principles of AO in relation to engagement; and additional principles and strategies enhancing engagement. Conclusion: Despite the heterogeneity in defining engagement, the relationship between AO professionals and patients emerged as crucial in the process of engagement. Subsequently, the four key principles of AO emerged as central to promoting engagement. Finally, we identified a number of additional principles that are considered crucial in the engagement process in AO. The review concludes with recommendations for future research and the implementation of AO in routine clinical care. PRISMA/PROSPERO: The reporting of this review is conducted following the PRISMA guidance and not registered at PROSPERO because completed reviews cannot be registered. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=190283415
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09638237.2024.2390363
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 682
    Subjects:
      – SubjectFull: AMED (Information retrieval system)
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Patient autonomy
        Type: general
      – SubjectFull: Community health services
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      – SubjectFull: Holistic medicine
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      – SubjectFull: Health services accessibility
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      – SubjectFull: Teams in the workplace
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      – SubjectFull: Respect
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      – SubjectFull: Interprofessional relations
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      – SubjectFull: Research funding
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      – SubjectFull: At-risk people
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      – SubjectFull: Caring
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      – SubjectFull: Systematic reviews
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      – SubjectFull: Patient participation
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
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      – TitleFull: Engagement strategies in an assertive outreach context: a mixed-methods systematic review.
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              M: 12
              Text: Dec2025
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