Kristin Duppong Hurley1, Mark J Van Ryzin2, Matthew Lambert3, Amy L Stevens4. 1. University of Nebraska-Lincoln, 247 Barkley Memorial Center, University of Nebraska-Lincoln, Lincoln, NE 68583-0732, Kristin.Hurley@unl.edu. 2. Oregon Social Learning Center, 10 Shelton McMurphey Blvd. Eugene, OR, 97401, MarkV@oslc.org. 3. University of Nebraska-Lincoln, University of Nebraska-Lincoln, 273 Barkley Memorial Center, University of Nebraska-Lincoln, Lincoln, NE, 68583-0732, Matt.Lambert@unl.edu. 4. Father Flanagan's Boys Home, 14100 Crawford St. Boys Town, NE 68010, amy.stevens@boystown.org.
Abstract
OBJECTIVE: To examine the link between therapeutic alliance and youth outcomes. METHOD: The study was conducted at a group-home with 112 youth with a disruptive-behavior diagnosis. Therapeutic alliance was collected routinely via youth and staff report. Outcome data were collected using youth and staff reports of externalizing behavior as well as behavioral incidents occurring during care. Outcome data were collected following intake into services and at 6 and 12 months of care. Data were analyzed to examine (1) if youth behavior problems at intake were predictive of therapeutic alliance and (2) if changes in alliance were predictive of subsequent youth outcomes. These were conducted with a 6-month service-delivery model and replicated with a 12-month model. RESULTS: There was some support for the first hypothesis, that initial levels of youth externalizing behavior would be related to alliance ratings; however, most of the effects were marginally significant. The second hypothesis, that changes in therapeutic alliance would be related to subsequent youth outcomes, was supported for the 6-month model, but not the 12-month model. CONCLUSIONS: Changes in therapeutic alliance may be predictive of youth outcomes during care. Additional research into examining therapeutic alliance trajectories is warranted to improve mental health services for youth.
OBJECTIVE: To examine the link between therapeutic alliance and youth outcomes. METHOD: The study was conducted at a group-home with 112 youth with a disruptive-behavior diagnosis. Therapeutic alliance was collected routinely via youth and staff report. Outcome data were collected using youth and staff reports of externalizing behavior as well as behavioral incidents occurring during care. Outcome data were collected following intake into services and at 6 and 12 months of care. Data were analyzed to examine (1) if youth behavior problems at intake were predictive of therapeutic alliance and (2) if changes in alliance were predictive of subsequent youth outcomes. These were conducted with a 6-month service-delivery model and replicated with a 12-month model. RESULTS: There was some support for the first hypothesis, that initial levels of youth externalizing behavior would be related to alliance ratings; however, most of the effects were marginally significant. The second hypothesis, that changes in therapeutic alliance would be related to subsequent youth outcomes, was supported for the 6-month model, but not the 12-month model. CONCLUSIONS: Changes in therapeutic alliance may be predictive of youth outcomes during care. Additional research into examining therapeutic alliance trajectories is warranted to improve mental health services for youth.
Authors: Leonard Bickman; Ana Regina Vides de Andrade; E Warren Lambert; Ann Doucette; Jeff Sapyta; A Suzanne Boyd; David T Rumberger; Joycelynn Moore-Kurnot; Luke C McDonough; Mary Beth Rauktis Journal: J Behav Health Serv Res Date: 2004 Apr-Jun Impact factor: 1.505
Authors: Ward van Breda; Vincent Bremer; Dennis Becker; Mark Hoogendoorn; Burkhardt Funk; Jeroen Ruwaard; Heleen Riper Journal: Internet Interv Date: 2018-06