TY - JOUR
T1 - Therapeutic alliance between youth and staff in residential group care
T2 - Psychometrics of the therapeutic alliance quality scale
AU - Duppong Hurley, Kristin
AU - Lambert, Matthew C.
AU - Van Ryzin, Mark
AU - Sullivan, Justin
AU - Stevens, Amy
PY - 2013/1
Y1 - 2013/1
N2 - Therapeutic alliance has been frequently studied in individual counseling sessions; however, research on therapeutic alliance in residential settings for youth with mental health diagnoses has been limited. This may be due, in part, to the presence of multiple service providers often in caregiving roles. The purpose of this study was to examine the psychometric quality of a widely utilized measure of therapeutic alliance used in psychotherapy with youth in residential care where the treatment is provided by a trained married couple. We also compared the relationship between youth ratings of their male and female service providers, as well as examined correlations in ratings between youth and staff on therapeutic alliance. Finally, we investigated the direction, magnitude, and trajectory of change in therapeutic alliance over a 12-month period following admission into residential care. The method was a longitudinal assessment of 135 youth and 124 staff regarding therapeutic alliance over the course of 12. months or discharge from services. Results indicated strong psychometric properties and high correlations for youth ratings of both their male and female service providers. However, the correlation was low between youth and service provider ratings of alliance. Longitudinal analyses indicated that rates of therapeutic alliance changed over time.
AB - Therapeutic alliance has been frequently studied in individual counseling sessions; however, research on therapeutic alliance in residential settings for youth with mental health diagnoses has been limited. This may be due, in part, to the presence of multiple service providers often in caregiving roles. The purpose of this study was to examine the psychometric quality of a widely utilized measure of therapeutic alliance used in psychotherapy with youth in residential care where the treatment is provided by a trained married couple. We also compared the relationship between youth ratings of their male and female service providers, as well as examined correlations in ratings between youth and staff on therapeutic alliance. Finally, we investigated the direction, magnitude, and trajectory of change in therapeutic alliance over a 12-month period following admission into residential care. The method was a longitudinal assessment of 135 youth and 124 staff regarding therapeutic alliance over the course of 12. months or discharge from services. Results indicated strong psychometric properties and high correlations for youth ratings of both their male and female service providers. However, the correlation was low between youth and service provider ratings of alliance. Longitudinal analyses indicated that rates of therapeutic alliance changed over time.
KW - Adolescents
KW - Out of home care
KW - Psychometrics
KW - Residential group homes
KW - Therapeutic alliance
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U2 - 10.1016/j.childyouth.2012.10.009
DO - 10.1016/j.childyouth.2012.10.009
M3 - Article
C2 - 23264715
AN - SCOPUS:84869840953
VL - 35
SP - 56
EP - 64
JO - Children and Youth Services Review
JF - Children and Youth Services Review
SN - 0190-7409
IS - 1
ER -