The Therapeutic Alliance in Child Inpatient Treatment: Development and Initial Validation of a Family Engagement Questionnaire

<p>Despite recent advances in correctional rehabilitation, rates of treatment attrition remain high and low efficacy rates suggest improvements in treatment development and delivery are needed. Treatment engagement is an important concept which remains poorly understood. In order to enhance understanding and facilitate higher levels of engagement in treatment, robust theoretical models need to be developed. In light of this, two key questions need to be answered; (1) what is engagement? And (2) what are the underlying causal mechanisms which facilitate or hinder engagement? I explore the contributions of current conceptualisations and models of correctional treatment engagement. I explain how evolutionary psychology, agency, norms and the therapeutic alliance can contribute to our theoretical understanding. These concepts are then integrated to form the Model of Engagement for Correctional Practice. Engagement is conceptualised as a set of adaptive, goal-directed behaviours occurring as a result of the dynamic interactions between contextual, psychological and social processes. I argue that these factors influence the nature of the therapeutic alliance and subsequently participant engagement. The model is then evaluated in terms of critical features required for a robust theory of engagement. I then suggest some practice principles and guidelines to demonstrate how this model can be applied to enhance treatment engagement.</p>

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Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (MANNA): A Randomized Controlled Pilot Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.632660 ◽

2021 ◽

Vol 12 ◽

Author(s):

Katrin Ziser ◽

Nadine Rheindorf ◽

Katharina Keifenheim ◽

Sandra Becker ◽

Gaby Resmark ◽

...

Keyword(s):

Anorexia Nervosa ◽

Pilot Study ◽

Therapeutic Alliance ◽

Inpatient Treatment ◽

Readiness To Change ◽

Pilot Trial ◽

Intervention Group ◽

Small Sample ◽

Treatment As Usual ◽

Randomized Controlled

Patients with anorexia nervosa (AN) are frequently characterized by an unstable readiness to change and high ambivalence toward treatment. Enhancing readiness to behavioral change therefore plays an essential role for adherence to treatment especially for severely ill patients treated in inpatient settings. Therefore, a novel 10 week program for the individual psychotherapy sessions was designed using elements from motivational interviewing to be applied within the multidisciplinary inpatient treatment for patients with AN. In a randomized controlled pilot trial, N = 22 patients with AN received either the new intervention or treatment as usual in one of two recruiting university hospitals. Readiness to change, eating disorder pathology, therapeutic alliance as well as acceptance and feasibility of the new intervention were measured from patients and therapists in week 1, 5, and 10 of inpatient treatment. Results confirm acceptance and feasibility of the MANNA intervention as evaluated by patients as well as therapists. Patients receiving the new intervention completed their inpatient treatment significantly more often on regular terms than patients receiving treatment as usual. No differences between the groups could be found concerning therapeutic alliance during and at the end of treatment and readiness to change. Absolute numbers of BMI increase indicate a larger increase in the intervention group albeit not significant in this pilot study sample. Limitations of the study such as the small sample size as well as possible adaptions and advancements of the intervention that need to be examined in a larger clinical trial of efficacy are discussed. This phase II study is registered with the German Clinical Trials Register (DRKS) under the trial number DRKS00015639.

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A MODEL OF ENGAGEMENT FOR CORRECTIONAL PRACTICE

10.26686/wgtn.17134439 ◽

2021 ◽

Author(s):

◽

Lisa Gannaway

Keyword(s):

Therapeutic Alliance ◽

Treatment Engagement ◽

Theoretical Models ◽

Dynamic Interactions ◽

Theoretical Understanding ◽

Treatment Development ◽

Participant Engagement ◽

Correctional Rehabilitation ◽

Engagement In Treatment ◽

Key Questions

<p>Despite recent advances in correctional rehabilitation, rates of treatment attrition remain high and low efficacy rates suggest improvements in treatment development and delivery are needed. Treatment engagement is an important concept which remains poorly understood. In order to enhance understanding and facilitate higher levels of engagement in treatment, robust theoretical models need to be developed. In light of this, two key questions need to be answered; (1) what is engagement? And (2) what are the underlying causal mechanisms which facilitate or hinder engagement? I explore the contributions of current conceptualisations and models of correctional treatment engagement. I explain how evolutionary psychology, agency, norms and the therapeutic alliance can contribute to our theoretical understanding. These concepts are then integrated to form the Model of Engagement for Correctional Practice. Engagement is conceptualised as a set of adaptive, goal-directed behaviours occurring as a result of the dynamic interactions between contextual, psychological and social processes. I argue that these factors influence the nature of the therapeutic alliance and subsequently participant engagement. The model is then evaluated in terms of critical features required for a robust theory of engagement. I then suggest some practice principles and guidelines to demonstrate how this model can be applied to enhance treatment engagement.</p>

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The global therapist competence scale for youth psychosocial treatment: Development and initial validation

Journal of Clinical Psychology ◽

10.1002/jclp.22537 ◽

2017 ◽

Vol 74 (4) ◽

pp. 649-664 ◽

Cited By ~ 1

Author(s):

Ruth C. Brown ◽

Michael A. Southam-Gerow ◽

Bryce D. McLeod ◽

Emily B. Wheat ◽

Carrie B. Tully ◽

...

Keyword(s):

Psychosocial Treatment ◽

Treatment Development ◽

Therapist Competence ◽

Initial Validation ◽

Competence Scale

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The Difficulties in Emotion Regulation Scale (DERS)

Swiss Journal of Psychology ◽

10.1024/1421-0185/a000093 ◽

2013 ◽

Vol 72 (1) ◽

pp. 5-11 ◽

Cited By ~ 29

Author(s):

Elise S. Dan-Glauser ◽

Klaus R. Scherer

Keyword(s):

Emotion Regulation ◽

Well Being ◽

French Translation ◽

French Version ◽

Inappropriate Behaviors ◽

Initial Validation ◽

Difficulties In Emotion Regulation ◽

Instrument Measuring ◽

Highly Correlated ◽

Psychopathological Disorders

Successful emotion regulation is a key aspect of efficient social functioning and personal well-being. Difficulties in emotion regulation lead to relationship impairments and are presumed to be involved in the onset and maintenance of some psychopathological disorders as well as inappropriate behaviors. Gratz and Roemer (2004 ) developed the Difficulties in Emotion Regulation Scale (DERS), a comprehensive instrument measuring emotion regulation problems that encompasses several dimensions on which difficulties can occur. The aim of the present work was to develop a French translation of this scale and to provide an initial validation of this instrument. The French version was created using translation and backtranslation procedures and was tested on 455 healthy students. Congruence between the original and the translated scales was .98 (Tucker’s phi) and internal consistency of the translation reached .92 (Cronbach’s α). Moreover, test-retest scores were highly correlated. Altogether, the initial validation of the French version of the DERS (DERS-F) offers satisfactory results and permits the use of this instrument to map difficulties in emotion regulation in both clinical and research contexts.

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Presence and Persistence of Sleep-Related Symptoms and Suicidal Ideation in Psychiatric Inpatients

Crisis ◽

10.1027/0227-5910/a000279 ◽

2014 ◽

Vol 35 (6) ◽

pp. 398-405 ◽

Cited By ~ 17

Author(s):

Michael R. Nadorff ◽

Thomas E. Ellis ◽

Jon G. Allen ◽

E. Samuel Winer ◽

Steve Herrera

Keyword(s):

Risk Factor ◽

Suicidal Ideation ◽

Inpatient Treatment ◽

Improve Method ◽

Sleep Problems ◽

Psychiatric Inpatients ◽

Poor Sleep ◽

Treatment Termination ◽

Suicidal Patients ◽

The Relationship

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation over the course of treatment. Further, to examine whether suicidal ideation is reduced in patients whose sleep does not improve. Method: The study utilized the Beck Depression Inventory (BDI)-II, which contains items measuring depressive symptoms, sleep-related symptoms, and suicidal ideation. The study sample consisted of 1,529 adult psychiatric inpatients. Patients were assessed at admission, biweekly, and at treatment termination. Results: Admission fatigue, loss of energy, and change in sleep pattern were associated with higher levels of suicidal ideation at admission and discharge. Fatigue at admission predicted suicidal ideation at termination independent of admission depression and suicidal ideation. Individuals whose sleep did not improve over the course of treatment had significantly higher suicidal ideation scores at termination relative to those whose sleep symptoms improved, after controlling for sleep, depression, and suicidal ideation scores at admission. Conclusion: These findings suggest that persistence of sleep-related symptoms warrants clinical attention in the treatment of suicidal patients.

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