Evaluating Perceptions of Working Alliance and Crisis Stabilization for Adolescent Males in Residential Treatment for Substance Abuse: A Time-Series Analysis

Counseling Outcome Research and Evaluation Pub Date : 2020-07-09 DOI:10.1080/21501378.2020.1776598

R. Balkin, G. M. Russo

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引用次数: 2

Abstract

Abstract Research related to adolescents in residential treatment for substance use is limited. Evaluations identifying treatment progress across frequent, multiple time points are scant. In this study 20 adolescent males (age M = 16.46, SD = 1.04) in residential treatment for substance use completed self-report inventories related to working alliance, problem severity, well-being, and crisis stabilization across 10 weeks. Small, statistically significant reductions in problem severity and improved well-being were noted. No statistically significant changes were noted with measures of the working alliance, well-being, and crisis stabilization, with small to medium effect sizes and unimproved conditions with no clinical significance. Therapeutic gains were evident for adolescent males working through issues related to chronic substance abuse in residential treatment, as indicated by a statistically significant reduction in problem severity with a moderate effect and slight improvement with limited clinical significance. The working alliance appeared to have some influence on treatment gains. This study represents an evaluation from a single site to help illuminate the challenges of residential treatment for substance use and potential perceptions of adolescent males in this level of care.

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评估青少年男性在药物滥用住院治疗中对工作联盟和危机稳定的看法:一个时间序列分析

有关青少年药物使用住院治疗的研究是有限的。在频繁的、多个时间点上确定治疗进展的评估很少。在本研究中，20名接受药物使用住院治疗的青少年男性(年龄M = 16.46, SD = 1.04)在10周内完成了与工作联盟、问题严重程度、幸福感和危机稳定相关的自我报告清单。他们注意到，问题严重程度和幸福感的改善在统计学上有微小的显著降低。工作联盟、幸福感和危机稳定的测量没有统计学上的显著变化，有小到中等的效应大小和未改善的条件，没有临床意义。在住院治疗中，青少年男性在解决与慢性药物滥用有关的问题方面的治疗收益是明显的，这表明，在统计上显著降低了问题的严重程度，效果适中，略有改善，但临床意义有限。工作联盟似乎对治疗效果有一定影响。这项研究代表了一项来自单一地点的评估，以帮助阐明药物使用的住院治疗的挑战和青少年男性在这种护理水平上的潜在看法。

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来源期刊

Counseling Outcome Research and Evaluation Psychology-Psychology (all)

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： Counseling Outcome Research and Evaluation (CORE) provides counselor educators, researchers, educators, and other mental health practitioners with outcome research and program evaluation practices for work with individuals across the lifespan. It addresses topics such as: treatment efficacy, clinical diagnosis, program evaluation, research design, outcome measure reviews. This journal also serves to address ethical, legal, and cultural concerns in the assessment of dependent variables, implementation of clinical interventions, and outcome research. Manuscripts typically fall into one of the following categories: Counseling Outcome Research: Treatment efficacy and effectiveness of mental health, school, addictions, rehabilitation, family, and college counseling interventions across the lifespan as reported in clinical trials, single-case research designs, single-group designs, and multi- or mixed-method designs.