Working alliance, treatment satisfaction, and patterns of posttreatment use among adolescent substance users.
This longitudinal study examined the relationships among the working alliance, treatment satisfaction, and posttreatment use among adolescents in treatment for substance abuse. Adolescents (N = 600) from the Cannabis Youth Treatment study (M. L. Dennis et al., 2002) completed measures of working alliance and treatment satisfaction as well as substance use and substance-related problems at intake and 3, 6, 9, 12, and 30 months' postintake. When controlling for initial substance use and substance-related problems, working alliance, but not treatment satisfaction, predicted use at 3 and 6 months' postintake. Neither working alliance nor treatment satisfaction were predictive of longitudinal patterns of posttreatment use. Implications for the assessment of working alliance and treatment satisfaction are discussed.
Tetzlaff
Brooke T
BT
Department of Psychology, Illinois State University, Normal, IL 61790, USA.
Kahn
Jeffrey H
JH
Godley
Susan H
SH
Godley
Mark D
MD
Diamond
Guy S
GS
Funk
Rodney R
RR
D000293:Adolescent; D003299:Cooperative Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009042:Motivation; D017060:Patient Satisfaction; D011237:Predictive Value of Tests; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D013997:Time Factors