Association of Therapeutic Alliance with Outcomes Over Two Years in Youth and Family Service
| Autor: | Eric G. Hulsey, Shari L. Hutchison, Alina Bodea Crisan, David Dan, Irina Karpov |
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| Rok vydání: | 2018 |
| Předmět: |
Male
050103 clinical psychology Health (social science) Adolescent Therapeutic Alliance 03 medical and health sciences Health services 0302 clinical medicine Surveys and Questionnaires Service planning Humans Family 0501 psychology and cognitive sciences Child Association (psychology) School Health Services Service (business) Mental Disorders 05 social sciences Public Health Environmental and Occupational Health 030227 psychiatry Psychiatry and Mental health Treatment Outcome Alliance Child Preschool Managed care Female Trajectory analysis Psychology Medicaid Clinical psychology |
| Zdroj: | Community Mental Health Journal. 54:935-943 |
| ISSN: | 1573-2789 0010-3853 |
| DOI: | 10.1007/s10597-018-0275-3 |
| Popis: | This study examines therapeutic alliance (TA) over 2 years and the association with clinical outcomes for children and youth in a home and school-based behavioral health service characterized by innovative TA practices. Caregiver report of TA and functioning were collected monthly and discussed to inform service planning. Trajectory analysis was conducted to discern distinct patterns of TA ratings over time with linear mixed models to examine factors associated with the resulting TA patterns. We identified 1714 Medicaid-eligible youth and families. The majority of families (84%) reported high and steady ratings of TA, 5% reported lower but improving TA ratings, and 11% reported declining TA ratings over time. Average TA rating was associated with family and child functioning, yet all TA groups experienced improved functioning over time. Measurement of TA over time may help clinicians target and improve care for children and families. |
| Databáze: | OpenAIRE |
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