Vol. 2, Issue 1, Part A (2025)

Background: Family involvement has long been recognized as a critical component in improving outcomes in adolescent psychiatric care. This study explored the intergenerational dimensions of family engagement and its impact on clinical outcomes and treatment adherence among adolescents with psychiatric disorders. Methods: A descriptive-analytical study was conducted over 12 months involving 150 adolescents aged 13-18 years diagnosed with depressive, anxiety, or psychotic spectrum disorders. Participants were categorized into low, moderate, and high family involvement groups. Data were collected using structured tools, including the Family Involvement Questionnaire (FIQ), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Clinical Global Impressions (CGI) scale at baseline, 6 weeks, and 3 months. Statistical analyses included repeated measures ANOVA and logistic regression. Results: Baseline FIQ and MSPSS scores increased progressively across the involvement groups. CGI scores significantly improved in all groups over time, with the most pronounced reductions in the high involvement group (mean CGI reduced from 5.6 at baseline to 3.4 at 3 months, p<0.001). Treatment adherence also demonstrated a strong positive gradient: 32% in the low involvement group, 76% in moderate, and 92% in high involvement. Logistic analysis indicated substantially higher odds of adherence in the high involvement group compared to low involvement. Perceived social support strongly correlated with adherence rates. Conclusion: Structured and sustained family involvement, framed through an intergenerational perspective, is associated with improved symptom reduction and greater treatment adherence in adolescent psychiatric care. Integrating family psychoeducation, intergenerational assessments, and collaborative treatment planning into routine psychiatric services can enhance clinical outcomes and strengthen family support systems. This underscores the need for systemic, family-centered approaches in mental health services and policy.