title: Youth therapeutic alliance in intensive treatment settings.
abstract: Therapeutic alliance (TA), the helping relationship that develops between a client and clinician, has received little attention in child treatment studies until recently, though it is the factor found to be most predictive of clinical outcomes. Furthermore, TA is cited as one of the most important components to effective therapy according to practicing clinicians. This study examines the TA that develops between teacher/counselors and children in 2 settings, a partial hospital/day school and a wilderness camp. An important finding in this study is the lack of relationship between the teacher/counselor's view of TA and the youth's view. Moreover, this correlation does not improve according to how long the counselors have known or have treated the youth. The implications of this and other findings are discussed.
authors.affiliation: Center for Mental Health Policy, Vanderbilt University, 1207 18th Ave S, Nashville, TN 37212, USA. Bickman@attglobal.net
authors.forename: Leonard
authors.initials: L
authors.lastname: Bickman
authors.forename: Ana Regina
authors.initials: AR
authors.lastname: Vides de Andrade
authors.forename: E Warren
authors.initials: EW
authors.lastname: Lambert
authors.forename: Ann
authors.initials: A
authors.lastname: Doucette
authors.forename: Jeff
authors.initials: J
authors.lastname: Sapyta
authors.forename: A Suzanne
authors.initials: AS
authors.lastname: Boyd
authors.forename: David T
authors.initials: DT
authors.lastname: Rumberger
authors.forename: Joycelynn
authors.initials: J
authors.lastname: Moore-Kurnot
authors.forename: Luke C
authors.initials: LC
authors.lastname: McDonough
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Rauktis
mesh_terms: D000293:Adolescent; D000328:Adult; D002165:Camping; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy*; D002661:Child Guidance Clinics / Q000458:organization & administration; D003376:Counseling; D003631:Day Care, Medical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010414:Pennsylvania; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000379:methods*; D015203:Reproducibility of Results; D012647:Self-Assessment; D012720:Severity of Illness Index