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Therapeutic alliance between youth and staff in residential group care: Psychometrics of the therapeutic alliance quality scale

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  • Duppong Hurley, Kristin
  • Lambert, Matthew C.
  • Van Ryzin, Mark
  • Sullivan, Justin
  • Stevens, Amy

Abstract

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 12months 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.

Suggested Citation

  • Duppong Hurley, Kristin & Lambert, Matthew C. & Van Ryzin, Mark & Sullivan, Justin & Stevens, Amy, 2013. "Therapeutic alliance between youth and staff in residential group care: Psychometrics of the therapeutic alliance quality scale," Children and Youth Services Review, Elsevier, vol. 35(1), pages 56-64.
    • Handle: RePEc:eee:cysrev:v:35:y:2013:i:1:p:56-64
    DOI: 10.1016/j.childyouth.2012.10.009
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    References listed on IDEAS

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    1. David Andrich, 1978. "A rating formulation for ordered response categories," Psychometrika, Springer;The Psychometric Society, vol. 43(4), pages 561-573, December.
    2. Ledyard Tucker & Charles Lewis, 1973. "A reliability coefficient for maximum likelihood factor analysis," Psychometrika, Springer;The Psychometric Society, vol. 38(1), pages 1-10, March.
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    1. Strijbosch, E.L.L. & Huijs, J.A.M. & Stams, G.J.J.M. & Wissink, I.B. & van der Helm, G.H.P. & de Swart, J.J.W. & van der Veen, Z., 2015. "The outcome of institutional youth care compared to non-institutional youth care for children of primary school age and early adolescence: A multi-level meta-analysis," Children and Youth Services Review, Elsevier, vol. 58(C), pages 208-218.

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