title: A systematic narrative review of the literature: adherence to pharmacological and nonpharmacological treatments among adolescents with mental disorders.
abstract: OBJECTIVE
  To review current research into the adherence to mental health treatment by adolescents.
  
  
  BACKGROUND
  Nonadherence to medication among adolescents has been studied much more extensively than nonadherence to other forms of treatment. Monitoring adherence to all recommended services is essential when assessing the long-term effectiveness of different treatment programmes. Healthcare professionals who treat patients with mental illness must be able to accurately determine which of their patients are adhering to all prescribed treatments.
  
  
  METHODS
  This is a systematic narrative literature review of the current literature.
  
  
  METHODS
  Using a narrative synthesis, the data from 15 relevant articles concerning adolescents in inpatient or outpatient mental health care were extracted and synthesised.
  
  
  RESULTS
  The reviewed papers are discussed in terms of the methods used to study treatment adherence, the working definition of adherence used in each case and the results obtained concerning adherence in adolescents. Thirty-four to sixty-seven per cent of adolescents treated are fully adherent to their medication and exhibit reasonably good follow-through for the recommended treatments. However, rates of noncompliance with medication are quite high, and significant numbers of adolescents choose to discontinue their medication.
  
  
  CONCLUSIONS
  This review synthesises current published data on adherence to mental health treatment among adolescents in order to provide practitioners and researchers with a better understanding of this important area. It is recommended that future investigations should focus on adherence in inpatient care, adherence to nonpharmacological treatments and the identification of factors that influence adherence.
  
  
  CONCLUSIONS
  The monitoring and understanding of adherence to recommended services is important. Therefore, these findings can be used by healthcare professionals who treat patients with mental illness to help them assess which of their patients are adhering to the prescribed treatments.
authors.affiliation: Institute of Health Sciences, University of Oulu and Oulu University Hospital, Oulu, Finland.
authors.forename: Ulla
authors.initials: U
authors.lastname: Timlin
authors.forename: Helinä
authors.initials: H
authors.lastname: Hakko
authors.forename: Raija
authors.initials: R
authors.lastname: Heino
authors.forename: Helvi
authors.initials: H
authors.lastname: Kyngäs
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy* / Q000451:nursing; D010349:Patient Compliance; D012646:Self Administration; D012651:Self Medication
keywords: adherence; adolescent; inpatient care; mental health; outpatient care; psychiatric nursing; systematic review