Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome

Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome

Bibliographic Details
Main Author: Staehlin, Tara Marie, Staehlin
Language:English
Published: Antioch University / OhioLINK 2016
Subjects:
Psychology
outcome measures
therapeutic alliance
children
adolescents
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=antioch14739887142858
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-antioch147398871428582021-08-03T06:38:43Z Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome Staehlin, Tara Marie, Staehlin Psychology outcome measures therapeutic alliance children adolescents Background: Research has shown a link between therapeutic alliance and treatment outcome, but the definition of alliance and the focus of research has varied across studies. The present study evaluated a possible association between the alliance strength and treatment outcome, which is operationalized by participants’ outcome scores and the difference between their first and last self-reported alliance scores, in a sample of children and adolescents seeking treatment at a community mental health facility. Method: 96 children and 239 adolescents who received mental health treatment at a local community clinic were asked to complete two feasible self-reported measures during each therapeutic session, including the Child Session Rating Scale (CSRS) or the Session Rating Scale (SRS) and the Child Outcome Rating Scale (CORS) or the Outcome Rating Scale (ORS) for the current study. Results: Due to the small number of children participants in the alliance groups, it was not possible to explore the relationship between therapeutic alliance and treatment outcome. However, the adolescent participants who ended therapy with a strong therapeutic alliance had a positive treatment outcome when compared to participants who ended therapy with a poor alliance. Overall, the results were inconclusive for the children sample due to the low number of participants and data collected. The overall results for the adolescent sample did show that therapeutic alliance was a significant predictor of treatment outcome. Conclusions: From these results, we can conclude that therapeutic alliance is an important factor in mental health treatment with young clients. Conversely, the exploratory analyses also suggest that there may be other factors that influence treatment outcome. Possible explanations, such as other stakeholders involved, number of sessions attended, and models/techniques used in treatment, are examined. Implications for practice and suggestions for research are discussed. This dissertation is available in open access at AURA, http://aura.antioch.edu/ and Ohio Link ETD Center, https://etd.ohiolink.edu/etd 2016-09-19 English text Antioch University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=antioch14739887142858 http://rave.ohiolink.edu/etdc/view?acc_num=antioch14739887142858 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Psychology
outcome measures
therapeutic alliance
children
adolescents
spellingShingle Psychology
outcome measures
therapeutic alliance
children
adolescents
Staehlin, Tara Marie, Staehlin
Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome
author Staehlin, Tara Marie, Staehlin
author_facet Staehlin, Tara Marie, Staehlin
author_sort Staehlin, Tara Marie, Staehlin
title Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome
title_short Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome
title_full Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome
title_fullStr Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome
title_full_unstemmed Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome
title_sort identifying therapeutic alliance patterns among a feasible clinical measure to improve treatment outcome
publisher Antioch University / OhioLINK
publishDate 2016
url http://rave.ohiolink.edu/etdc/view?acc_num=antioch14739887142858
work_keys_str_mv AT staehlintaramariestaehlin identifyingtherapeuticalliancepatternsamongafeasibleclinicalmeasuretoimprovetreatmentoutcome
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