The Relation Between Therapeutic Alliance and Treatment Motivation in Residential Youth Care: A Cross-Lagged Panel Analysis.
Roest, J. J. Helm, G. H. P. Van der. Stams, G. J. J. M.
Leiden University of Applied Sciences, Leiden,The Netherlands.
Published: October 2016
Child and Adolescent Social Work Journal
Vol. 33, No. 6 , p. 455-468
Springer International Publishing AG
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This study investigated the longitudinal relation between therapeutic alliance and treatment motivation in a sample of 174 adolescents receiving residential treatment in the Netherlands. Structural equation modeling with a cross-lagged panel design was used to examine the relation between therapeutic alliance and treatment motivation up to 9 months of treatment. Results revealed that autoregressive associations between initial therapeutic alliance and alliance at subsequent time points were significant, whereas for treatment motivation a significant association was found after 6 months, but not after 9 months. Results also showed that a higher level of therapeutic alliance after 3 months was predictive of a higher level of treatment motivation after 6 months. Furthermore, a higher level of therapeutic alliance after 6 months was predictive of a higher level of treatment motivation after 9 months. Implications for research and clinical practice are discussed. (Author abstract)
foster children; Netherlands; adolescents; motivation; therapeutic effectiveness; THERAPISTS; THERAPISTS ROLE; Residential treatment; RESIDENTIAL CARE INSTITUTIONS