Predictors of Early Therapeutic Alliance Among Adolescents in Substance Abuse Treatment

Journal of Psychoactive Drugs

Volumn 40, Issue 1, 2008, Pages 55-65

  Garner, Bryan R ^a   Godley, Susan H ^a   Funk, Rodney R ^a  

^a CHESTNUT HEALTH SYSTEMS   (United States)

Author keywords

Adolescent; Substance abuse; Therapeutic relationship; Working alliance

Indexed keywords

ADOLESCENT; ARTICLE; COGNITIVE THERAPY; DRUG DEPENDENCE; DRUG DEPENDENCE TREATMENT; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MODEL; OUTPATIENT CARE; PROBLEM IDENTIFICATION; PSYCHOTHERAPIST; SOCIAL SUPPORT;

EID: 42449136952     PISSN: 02791072     EISSN: 21599777     Source Type: Journal    
DOI: 10.1080/02791072.2008.10399761     Document Type: Article

References (63)

1. Ackerman, S.J. & Hilsenroth, M. J. 2003. A review of therapist characteristics and techniques positively impacting the therapeutic alliance. Clinical Psychology Review 23: 1-33.
2. Barber, J.P.; Luborsky, L.; Gallop, R.; Crits-Christoph, P.; Frank, A.; Weiss, R.; Thase, M.E.; Connolly, M.B.; Gladis, M.; Foltz, C. & Siqueland, L. 2001. Therapeutic alliance as a predictor of outcome and retention in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. Journal of Consulting and Clinical Psychology 69: 119-24.
3. Barber, J.P.; Connolly, M.B.; Crits-Christoph, P.; Gladis, M. & Siqueland, L. 2000. Alliance predicts patients' outcome beyond in-treatment change in symptoms. Journal of Consulting and Clinical Psychology 68: 1027-32.
4. Barber, J.P.; Crits-Christoph, P.; Thase, M.E.; Weiss, R.; Frank, A.; Onken, L. & Gallop, R. 1999. Therapeutic alliance as a predictor of outcome in the treatment of cocaine dependence. Psychotherapy Research 9: 54-73.
5. Belding, M.A.; Iguchi, M.Y.; Morral, A.R. & McLellan, A.T. 1997. Assessing the helping alliance and its impact in the treatment of opiate dependence. Drug and Alcohol Dependence 48: 51-59.
6. Bell, D.C.; Montoya, J.D. & Atkinson, J.S. 1997. Therapeutic connection and client progress in drug abuse treatment. Journal of Clinical Psychology 53: 215-24.
7. Bollen, K. & Lennox, R. 1991. Conventional wisdom on measurement: A structural equation perspective. Psychological Bulletin 110: 305-14.
8. Bordin, E.S. 1979. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, and Practice 16: 252-60.
9. Broome, K.M.; Joe, G.W. & Simpson, D.D. 2001. Engagement models for adolescents in DATOS-A. Journal of Adolescent Research 16: 608-23.
10. Connors, G.J.; Di Clemente, C.C.; Dermen, K.H.; Kadden, R.; Carroll, K.M. & Frone, M.R. 2000. Predicting thetherapeutic alliance in alcoholism treatment. Journal of Studies on Alcohol 61: 139-49.
11. Connors, G.J.; Carroll, K.M.; DiClemente, C.C.; Longabaugh, R. & Donovan, D.M. 1997. The therapeutic alliance and its relationship to alcoholism treatment participation and outcome. Journal of Consulting and Clinical Psychology 65: 588-98.
12. De Leon, G. & Jainchill, N. 1986. Circumstance, motivation, readiness and suitability (CMRS) as correlates of treatment tenure. Journal of Psychoactive Drugs 18: 203-08.
13. Dennis, M.L. 2007. Personal communication, May 3.
14. Dennis, M.L. & White, M.K. 2003. The Effectiveness of Adolescent Substance Abuse Treatment: A Brief Summary of Studies Through 2001. Bloomington, IL: Chestnut Health Systems.
15. Dennis, M.L.; Chan, Y. & Funk, R.R. 2006. Development and validation of the GAIN short screener (GSS) for internalizing, externalizing and substance use disorders and crime/violence problems among adolescents and adults. American Journal on Addictions 15: 80-91.
16. Dennis, M.L.; White, M.K.; Titus, J.C. & Unsicker, J. 2006. Global Appraisal of Individual Needs: Administration Guide for the GAIN and Related Measures, Version 5. Bloomington, IL: Chestnut Health Systems. Retrieved from http://www.chestnut.org/LUgain/Manuals/G_l_Cover_and_lntro.pdf.
17. Dennis, M.L.; Dawud-Noursi, S.; Muck, R.D. & McDermeit, M. 2003a. Theneedfor developing and evaluating adolescent treatment models. In: S.J. Stevens & A.R. Morral (Eds.) Adolescent Substance Abuse Treatment in the United States: Exemplary Models from a National Evaluation Study. Binghamton, NY: Haworth Press.
18. Dennis, M.L.; Titus, J.C.; White, M.; Unsicker, J. & Hodgkins, D. 2003b. Global Appraisal of Individual Needs (GAIN): Administration Guide for the GAIN and Related Measures. Bloomington, IL: Chestnut Health Systems.
19. Dennis, M.L.; Titus, J.C.; Diamond, G.; Donaldson, J.; Godley, S.H.; Tims, F.; Webb, C.; Kaminer, Y.; Babor, T.; Roebuck, M.C.; Godley, M.D.; Hamilton, N.; Liddle, H. & Scott, C.K. 2002. The Cannabis Youth Treatment (CYT) experiment: Rationale, study design, and analysis plans. Addiction 97: S 16-S34.
20. Diamond, G.S.; Liddle, H.; Wintersteen, M.B.; Dennis, M.; Godley, S. & Tims, F. 2006. Early therapeutic alliance as a predictor of treatment outcome for adolescent cannabis users in outpatient treatment. American Journal on Addictions 15: 26-33.
21. Diamond, G.S.; Godley, S.H.; Liddle, H.A.; Sampl, S.; Webb, C.; Tims, F.M. & Meyers, R. 2002. Five outpatient treatment models for adolescent marijuana use: A description of the Cannabis Youth Treatment interventions. Addiction 97: S70-S83.
22. Drug Strategies. 2003. Treating Teens: A Guide to Adolescent Drug Programs. Washington, DC: Drug Strategies.
23. Freud, S. 1913. On beginning the treatment. In: J. Strachey (Ed. and Trans.) The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. 12. London: Hogarth Press.
24. Gamer, B.R.; Godley, M.D.; Funk, R.R.; Dennis, M.L. & Godley, S.H. Inpress. The impact of continuing care adherence on environment risks, substance use and substance-related problems following adolescent residential treatment. Psychology of Addictive Behaviors.
25. Godley, M.D.; Kahn, J.H.; Dennis, M.L.; Godley, S.H. & Funk, R.R.2005. The stability and impact of environmental factors on substance use and problems after adolescent outpatient treatment for cannabis use or dependence. Psychology of Addictive Behaviors 19: 62-70.
26. Gomes-Schwartz, B. 1978. Effective ingredients in psychotherapy: Prediction of outcome from process variables. Journal of Consulting and Clinical Psychology 46: 1023-35.
27. Greenson, R.R. 1965. The working alliance and the transference neuroses. Psychoanalysis Quarterly 34: 155-81.
28. Hawke, J.M.; Hennen, J. & Gallione, P. 2005. Correlates of therapeutic involvement among adolescents in residential drug treatment. American Journal of Drug and Alcohol Abuse 31: 163-77.
29. Hogue, A.; Dauber, S.; Stambaugh, L.F.; Cecero, J.J. & Liddle, H.A. 2006. Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems. Journal of Consulting and Clinical Psychology 74: 121-29.
30. Horvath, A.O. & Greenberg, L.S. 1989. Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology 36: 223-33.
31. Horvath, A.O. & Symonds, B D. 1991. Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology 8: 139-49.
32. Hosmer, D.W. & Lemeshow, S. 1989. Applied Logistic Regression. New York: John Wiley.
33. Hser, Y.I.; Grella, C.E.; Hsieh, S.C.; Anglin, M.D. & Brown, B.S. 1999. Prior treatment experience related to process and outcome in DATOS. Drug and Alcohol Dependence 57: 137-50.
34. Joe, G.W.: Simpson, D.D. & Broome, K.M. 1999. Retention and patient engagement models for different treatment modalities in DATOS. Drug and Alcohol Dependence 57: 113-25.
35. Joe, G.W.: Simpson, D.D. & Broome, K.M. 1998. Effects of readiness for drug abuse treatment on client retention and assessment of process. Addiction 93: 1177-90.
36. Joe, G.W.; Simpson, D.D.; Dansereau, D.F. & Rowan-Szal, G.A. 2001. Relationships between counseling rapport and drug abuse treatment outcomes. Psychiatric Services 52: 1223-29.
37. Karver, M.S.; Handelsman, J.B.; Fields, S. & Bickman, L. 2006. Metaanalysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review 26: 50-65.
38. Kokotovic, A.M. & Tracey, T.J. 1990. Working alliance in the early phase of counseling. Journal of Counseling Psychology 37: 16-21.
39. Lambert, A. & Barley, D. 2002. Research summary on the therapeutic relationship and psychotherapy outcome. In: J. Norcross (Ed.) Psychotherapy Relationships that Work: Therapist Contributions and Responsiveness to Patients. New York: Oxford University Press.
40. Lennox, R.D.; Dennis, M.L.; Scott, C.K. & Funk, R.R. 2006. Combining psychometric and biometric measures of substance use. Drug and Alcohol Dependence 83: 95-103.
41. Liddle, H.A. 2002. Multidimensional Family Therapy for Adolescent Cannabis Users. DHHS Publication No. SMA 02-3660. Rockville, MD: Substance Abuse & Mental Health Services Administration, Center for Substance Abuse Treatment.
42. Luborsky, L.; Barber, J.P.; Siqueland, L.; Johnson, S.; Najavits, L.M.; Frank, A. & Daley, D. 1996. The revised Helping Alliance Questionnaire (HAq-H). Journal of Psychotherapy Practice and Research 5: 260-71.
43. Luborsky, L.; McLellan, A.T.; Woody, G.E.; O’Brien, C.P. & Auerbach, A. 1985. Therapist success and its determinants. Archives of General Psychiatry 42: 602-11.
44. Martin, D.J.; Garske, J.P. & Davis, M.K. 2000. Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology 68: 438-50.
45. Meier, P.S. & Donmall, M.D. 2005. Differences in client and therapist views of the working alliance in drug treatment. Journal of Substance Use 10: 1-8.
46. Meier, P.S.; Barrowclough, C. & Donmall, M.C. 2005. The role of the therapeutic alliance in the treatment of substance misuse: A critical review of the literature. Addiction 100: 304-16.
47. Meier, P.S.; Donmall, M.C.; Barrowclough, C.; McElduff, P. & Heller, R.F. 2005. Predicting the early therapeutic alliance in the treatment of drug misuse. Addiction 100: 500-11.
48. Moras, K. & Strupp, H.H. 1982. Pretherapy interpersonal relations, patients' alliance, and outcome in brief therapy. Archives of General Psychiatry 39: 405-09.
49. Najavits, L.M. & Weiss, R.D. 1994. Variations in therapist effectiveness in the treatment of patients with substance use disorders: An empirical review. Addiction 89: 679-88.
50. Nunnally, J.C. & Bernstein, l.H. 1994. Psychometric Theory. Third Ed. New York: McGraw-Hill.
51. Orlinsky, D.E. & Howard, K.I. 1986. Process and outcome in psychotherapy. In: S.L. Garfield & A.E. Bergin (Eds.) Handbook of Psychotherapy and Behavior Change. Third Ed. New York: John Wiley & Sons.
52. Orlinsky, D.E.; RS'lnnestad, M.H. & Willutzki, U. 2004. Fifty years of psychotherapy process-outcome research: Continuity and change. In: M.J. Lambert (Ed.) Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change. Fifth Ed. New York: John Wiley & Sons.
53. Raudenbush, S.W. & Bryk, A.S. 2002. Hierarchical Linear Models: Applications and Data Analysis Methods. Second Ed. Thousand Oaks, CA: Sage.
54. Shelef, K.; Diamond, G.M.; Diamond, G.S. & Liddle, H.A. 2005. Adolescent and parent alliance and treatment outcome in multidimensional family therapy. Journal of Consulting and Clinical Psychology 73: 689-98.
55. Shirk, SR. & Karver, M. 2003. Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review. Journal of Consulting and Clinical Psychology 71: 452-64.
56. Simpson, D.D. 2004. A conceptual framework for drug treatment process and outcomes. Journal of Substance Abuse Treatment 27: 99-121.
57. Simpson, D.D. 2001. Modeling treatment process and outcomes. Addiction 96: 207-11.
58. Simpson, D.D. & Joe, G.W. 1993. Motivation as a predictor of early dropout from drug abuse treatment. Psychotherapy 30: 357-68.
59. SPSS. 2005. Statistical Program for The Social Sciences, Version 14.1. Chicago, IL: SPSS.
60. Tetzlaff, B.T.; Kahn, J.H.; Godley, S.H.; Godley, M.D.; Diamond, G. & Funk, R.R. 2005. Working alliance, treatment satisfaction, and relapse among adolescents participating in outpatient treatment for substance use. Psychology of Addictive Behaviors 19: 199-207.
61. Tracey, T.J. & Kokotovic, A.M. 1989. Factor structure of the Working Alliance Inventory. Psychological Assessment 1: 207-10.
62. Whiston, S.C. & Sexton, T.L. 1993. An overview of psychotherapy outcome research: Implications for practice. Professional Psychology: Research and Practice 24: 43-51.
63. Wintersteen, M.B.: Mensinger, J.L. & Diamond, G.S. 2005. Do gender and racial differences between patient and therapist affect therapeutic alliance and treatment retention in adolescents? Professional Psychology: Research and Practice 36: 400-08.