Therapeutic alliance with youth in residential care: Challenges and recommendations
The therapeutic alliance has consistently been shown to be a strong predictor of therapy outcome across theoretical orientations, presenting problems, and modes of treatments in youth (Shirk & Karver, 2003; Shirk, Karver, & Brown, 2011). As the intensity of treatment increases from outpatient to inpatient to residential, the difficulty in alliance formation also increases. Multiple factors can affect a youths ability to form an alliance in a residential facility. Internal factors, such as the youths psychopathology and temperament, may play a role. Familial factors, including abuse or neglect are common. Community factors, such as being removed from the home, could play a part. Institutional factors, including moving from a lower level to a higher level of treatment, could be another piece of the puzzle. Therapist factors may also play a role.
intensity of treatment, residential care, therapeutic alliance, therapy outcome, youth
Byers, Alyssa N., and David J. Lutz. "Therapeutic alliance with youth in residential care: Challenges and recommendations." Residential Treatment for Children & Youth 32, no. 1 (2015): 1-18.
Residential Treatment for Children and Youth