The working alliance in treatment of military adolescents.

Owen, Jesse; Miller, Scott D.; Seidel, Jasón A.; Chow, Daryl

doi:10.1037/ccp0000035

Cited by 32 publications

(38 citation statements)

References 51 publications

(97 reference statements)

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“…Clinical outcomes were measured by changes in client overall well-being and school engagement scores. For feasibility, client overall well-being was measured by one item from the Outcome Rating Scale (Owen et al 2016): "Overall, I am doing well," on a scale from 0 (poor) to 10 (very good). School engagement was measured by the School Engagement Instrument (SEI), which consists of three items that assess behavioral, cognitive, and emotional dimensions of school engagement (Lintz et al 2019).…”

Section: Methodsmentioning

confidence: 99%

Engaging Adolescents: Animal Assisted Therapy for Adolescents with Psychiatric and Substance Use Disorders

et al. 2019

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Objectives This study compares treatment engagement and outcomes between two groups of adolescents with psychiatric and substance use disorders (SUD): one received treatment with Animal Assisted Therapy (AAT) and another without AAT. Methods This is an exploratory study with a quasi-experimental pre-post comparison group design. Participants were 31 adolescents (ages 12-17 years) participating in an urban school-based substance treatment program. Cases (n = 14) received treatment with AAT, whereas comparison (n = 17) received treatment without AAT. The outcome measures included: number of sessions attended, proportion of negative urine drug screens for non-nicotine substances, overall-wellbeing, and the School Engagement Instrument. Student's T test and a Wilcoxon Rank Sum Test were used to evaluate differences. Outcomes that differed significantly between groups were further evaluated using unadjusted linear regression. Results Participants who received treatment with AAT (M = 9.9, SD = 3.2) attended more therapy sessions within a 16week period (β = 3.5, t(1) = 2.89, p = 0.0072) than those that received treatment without AAT (M = 6.4, SD = 3.5). Additionally, the AAT group (Mdn = 2.9, IQR: 1.8, 5.0) had a greater improvement in overall-wellbeing (β = 3.6, t(1) = 3.74, p = 0.0009) than treatment group without AAT (Mdn = 0.5, IQR: −2.6, 1.4). Conclusions AAT could be a way to increase engagement for youth in substance use treatment.

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Section: Methodsmentioning

confidence: 99%

Engaging Adolescents: Animal Assisted Therapy for Adolescents with Psychiatric and Substance Use Disorders

et al. 2019

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Section: Discussionmentioning

confidence: 94%

“…The proportions of students in those four categories in this study using an RCI of six points were 27%, 54%, 40% and 5.6%, respectively. By comparison, a large study ( n = 2,990) of 11‐ to 19‐year‐olds in the United States (Owen et al, 2016) reported 63% of their sample achieved clinical change and 64% achieved reliable change. The large proportion of students who had first session ORS scores below the clinical cut‐off points of 25 for 18‐ and 19‐year‐olds and 28 for the rest of the sample (89%) suggests both that counselling was being delivered to those in need of it and that students seeking counselling recognised they were in distress.…”

Section: Discussionmentioning

confidence: 98%

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Exploring counselling outcomes in New Zealand schools

Manthei

Tuck

Crocket

et al. 2020

Couns and Psychother Res

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Background: School counsellors with tertiary-level qualifications have been appointed to permanent positions in secondary schools in New Zealand for nearly 50 years. Despite their perceived importance to their schools and communities, there have been no systematic studies examining the impact of their roles on students. Nevertheless, counsellors' roles have expanded over the years to include a wide range of mental health-related services for students. Aim: The purpose of this study was to explore the outcomes for the well-being of students counselled in New Zealand secondary schools. Method: Thirty school counsellors working in 14 secondary schools across the country during the 2019 school year provided scores on the Outcome Rating Scale (ORS Duncan & Miller, 2000); The heroic client: Client directed, outcome informed therapy. San Francisco, CA: Jossey-Bass, 2000) for the first and final counselling sessions of 490 students. Results: Seventy per cent of the counselled students were females, 64% were Pākehā (European), 14% were Māori, and 22% represented other ethnicities. Their counselling tended to be brief with 69% of students having fewer than five sessions. The average ORS score for the counselled students changed positively and significantly over time. The effect size of this change (Cohen's d = 0.87) was 'large'. Although boys had significantly higher first and last session ORS scores than girls, the average gain score for each group was similar. The average ORS scores for all of the ethnic groups changed positively over time, and their average gains were similar. Discussion: The observed changes over time associated with counselling were not unlike those observed overseas. The findings are notable given that in every participating school the ratio of counsellors to students (1:668

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“…In addition, some studies use alliance change scores to investigate whether the improvement of alliance during the therapy process influences treatment outcome (e.g., Bachler et al 2016 ; Keeley et al 2011 ). The relevance of this second type of alliance is illustrated by a study on alliance in adolescent psychotherapy, demonstrating that alliance change scores explain more variance in treatment outcome compared to single-moment measures or an average of multiple single-moment measures (Owen et al 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Alliance and Treatment Outcome in Family-Involved Treatment for Youth Problems: A Three-Level Meta-analysis

Poll

Roest

Stouwe

et al. 2017

Clin Child Fam Psychol Rev

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Alliance has been shown to predict treatment outcome in family-involved treatment for youth problems in several studies. However, meta-analytic research on alliance in family-involved treatment is scarce, and to date, no meta-analytic study on the alliance–outcome association in this field has paid attention to moderating variables. We included 28 studies reporting on the alliance–outcome association in 21 independent study samples of families receiving family-involved treatment for youth problems (N = 2126 families, M age youth ranging from 10.6 to 16.1). We performed three multilevel meta-analyses of the associations between three types of alliance processes and treatment outcome, and of several moderator variables. The quality of the alliance was significantly associated with treatment outcome (r = .183, p < .001). Correlations were significantly stronger when alliance scores of different measurement moments were averaged or added, when families were help-seeking rather than receiving mandated care and when studies included younger children. The correlation between alliance improvement and treatment outcome just failed to reached significance (r = .281, p = .067), and no significant correlation was found between split alliances and treatment outcome (r = .106, p = .343). However, the number of included studies reporting on alliance change scores or split alliances was small. Our findings demonstrate that alliance plays a small but significant role in the effectiveness of family-involved treatment. Future research should focus on investigating the more complex systemic aspects of alliance to gain fuller understanding of the dynamic role of alliance in working with families.

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The working alliance in treatment of military adolescents.

Abstract: The monitoring of and continual promotion of the working alliance among military youth in the early phases of therapy may help therapists improve treatment outcomes.

Cited by 32 publications

References 51 publications

Engaging Adolescents: Animal Assisted Therapy for Adolescents with Psychiatric and Substance Use Disorders

Engaging Adolescents: Animal Assisted Therapy for Adolescents with Psychiatric and Substance Use Disorders

Exploring counselling outcomes in New Zealand schools

Alliance and Treatment Outcome in Family-Involved Treatment for Youth Problems: A Three-Level Meta-analysis

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