Community mental health journal
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'Engagement' and 'treatment engagement' are terms that frequently appear in the mental health literature, and are operationalized differently across studies. A clearer understanding and conceptualization of engagement would enhance research and practice. ⋯ However, therapists viewed engagement as much more than the relationship; it is a complex process that is affected by many factors, including agency policies and practices. Suggestions are made to advance the study of how clinical and organizational factors affect engagement.