Somanathan R, Gandhi S, Sivakumar T, Manjunatha N. Nurse-led treatment engagement interventions for persons with severe mental illnesses in community settings. World J Psychiatry 2025; 15(9): 107720 [PMID: 40933145 DOI: 10.5498/wjp.v15.i9.107720]
Corresponding Author of This Article
Revathi Somanathan, PhD, Assistant Professor, Mental Health Nursing, Ramaiah University of Applied Sciences, MSR Nagar, Bangalore 560054, Karnataka, India. revathi.somanathan@gmail.com
Research Domain of This Article
Nursing
Article-Type of This Article
Minireviews
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Somanathan R, Gandhi S, Sivakumar T, Manjunatha N. Nurse-led treatment engagement interventions for persons with severe mental illnesses in community settings. World J Psychiatry 2025; 15(9): 107720 [PMID: 40933145 DOI: 10.5498/wjp.v15.i9.107720]
World J Psychiatry. Sep 19, 2025; 15(9): 107720 Published online Sep 19, 2025. doi: 10.5498/wjp.v15.i9.107720
Nurse-led treatment engagement interventions for persons with severe mental illnesses in community settings
Revathi Somanathan, Sailaxmi Gandhi, T Sivakumar, Narayana Manjunatha
Revathi Somanathan, Mental Health Nursing, Ramaiah University of Applied Sciences, Bangalore 560054, Karnataka, India
Sailaxmi Gandhi, Department of Nursing, National Institute of Mental Health and Neuro Sciences, Bangalore 560029, Karnataka, India
T Sivakumar, Narayana Manjunatha, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore 560029, Karnataka, India
Author contributions: Somanathan R designed, conceptualized, reviewed the literature extensively and wrote the report; Gandhi S, Sivakumar T and Manjunatha N were involved in the conceptualization, intellectual contribution and revising of the report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Corresponding author: Revathi Somanathan, PhD, Assistant Professor, Mental Health Nursing, Ramaiah University of Applied Sciences, MSR Nagar, Bangalore 560054, Karnataka, India. revathi.somanathan@gmail.com
Received: April 1, 2025 Revised: May 1, 2025 Accepted: July 21, 2025 Published online: September 19, 2025 Processing time: 151 Days and 2 Hours
Core Tip
Core Tip: Treatment engagement is a continuous, collaborative and dynamic process. Due to the multifactorial nature of non-adherence, need-based client-centered care would help reduce the treatment gap and improve their quality of life. Engagement can be improved by having a relationship of trust, empathy and non-judgmentality. Internationally, shared decision-making, peer support, family involvement and other psychosocial strategies have shown to improve engagement. Nurses, in collaboration with the multidisciplinary team, are capable of long-term engagement through psychoeducation, motivational interviewing and home visits. A tailored approach to engaging the clients through a strong therapeutic alliance is important for enhancing treatment outcomes and active participation.
