Exploring therapeutic alliance in brief inpatient psychotherapy: a preliminary study

Blais, Mark A.; Jacobo, Michelle; Smith, Steven R.

doi:10.1002/cpp.666

Cited by 12 publications

(9 citation statements)

References 24 publications

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“…Although a positive association between alliance and outcome is a consistent finding in psychotherapy outcomes research (e.g., Horvath et al, 2011), it is possible that the association operates differently in an inpatient environment. For example, Blais, Jacobo, & Smith (2010) also found a negative correlation between alliance and outcome in an inpatient sample, using different measures of alliance and outcome. They interpreted the finding as a reflection of higher functioning patients (who tend to give higher alliance ratings) requiring less improvement before discharge relative to lower functioning patients.…”

Section: Discussionmentioning

confidence: 91%

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

et al. 2012

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Patients hospitalized for psychiatric reasons exhibit significantly elevated risk of suicide, yet the research literature contains very few outcome studies of interventions designed for suicidal inpatients. This pilot study examined the inpatient feasibility and effectiveness of The Collaborative Assessment and Management of Suicidality (CAMS), a structured evidence-based method for risk assessment and treatment planning (Jobes, 2006). The study used an open-trial, case-focused design to assess an inpatient adaptation of CAMS, spread over a period averaging 51 days. The intervention was provided via individual therapy to a convenience sample of 20 patients (16 females and four males, average age 36.9) who were hospitalized with recent histories of suicidal ideation and behavior. Results showed statistically and clinically significant reductions in depression, hopelessness, suicide cognitions, and suicidal ideation, as well as improvement on factors considered “drivers” of suicidality. Treatment effect sizes were in the large range (Cohen’s d > .80) across several outcome measures, including suicidal ideation. Although these findings must be considered preliminary due to the lack of a randomized control group, they merit attention from clinicians working with patients at risk for suicide. This study also supports the feasibility of implementing a structured, suicide-specific intervention for at-risk patients in inpatient settings.

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Section: Discussionmentioning

confidence: 91%

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

et al. 2012

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“…Clinician and adolescent self-report measures of treatment alliance (e.g. Blais, Jacobo, & Smith, 2010; Haggerty et al, 2015) may be incorporated in the design of future studies. This would also enable investigation of the association between treatment alliance and outcomes of inpatient treatment.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of inpatient psychiatric treatment for adolescents: A multiple perspectives evaluation

Lee

Martin

Hembry

et al. 2017

Clin Child Psychol Psychiatry

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Adolescent inpatient psychiatric treatment was evaluated from the multiple perspectives of clinicians, young people and parents using standardised measures and goal-based outcomes (GBOs). The sample included cases ( N = 128) discharged from a London adolescent unit between April 2009 and December 2015. Measures were completed at admission and discharge, and change in ratings was analysed to assess treatment outcomes. Ratings of clinicians and young people on the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) were compared. Adolescents demonstrated significant improvement across all measures from admission to discharge. Correlation between clinicians' and adolescents' HoNOSCA ratings was weak at admission ( r = .25) but stronger at discharge ( r = .63). Standardised effect sizes were larger for GBOs ( d = 1.73 and 3.16 for adolescent and clinician-rated goals, respectively) compared to all standardised measures ( d = 0.31-0.93). Improvement was observed across all measures of functioning and symptoms following inpatient treatment. Clinicians and young people developed better shared understanding of the problems from admission to discharge. GBOs are more sensitive to change compared to standardised measures and may be meaningfully adopted by inpatient units for routine outcome monitoring.

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“…Four habits coding scheme 38 Doctor patient consultation questionnaire 63 Verona coding definitions of emotional sequences 44,45 Physician-Patient Questionnaire 64 Roter interaction analysis system 46 Part process analysis 65,66 Physician-Caregiver Relationship Scale 47 Relationships with Healthcare Provider Scale 37 Active Listening Observation Scale 48 STAR measure 67 Jefferson Scale of Physician Empathy [49][50][51][52] 4-point ordinal alliance self-report 68 Empathy scale for social workers 53 Brief alliance measure 69 Reynolds Empathy Scale 54 Kim Alliance Scale 39 KOPRA and KOVA questionnaire 55 Patient-doctor relationship questionnaire 70 Healthcare Relationship Trust Scale 56 Helping alliance questionnaire 71 Trust in Nurses Scale 57 Feeling checklist 58 LIV-MAAS checklist 59 OPTION scale 18 WHO questionnaire 60 Psychosocial care by physicians 61 Child and adolescent service experience 62 Searching for the logic of the patient (Mis)fit CARE measure [72][73][74][75] Emotional touch point method 87 Perception of Empathy Inventory 76 Video lifeworld schema 88…”

Section: Antecedents Of the Therapeutic Relationshipmentioning

confidence: 99%

Can quality from a care ethical perspective be assessed? A review

2013

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Exploring therapeutic alliance in brief inpatient psychotherapy: a preliminary study

Abstract: Overall, the study demonstrates both the feasibility and potential benefit of conducting inpatient psychotherapy research.

Cited by 12 publications

References 24 publications

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

Outcomes of inpatient psychiatric treatment for adolescents: A multiple perspectives evaluation

Can quality from a care ethical perspective be assessed? A review

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