Understanding alliances. How can research inform user‐friendly practice?

Reimers, Sigurd

doi:10.1111/1467-6427.00168

Cited by 18 publications

(14 citation statements)

References 25 publications

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“…Recent research by Everall and Paulson (2002) has found that such techniques are useful with ‘hard to engage’ clients. It is also important to note that some cognitive therapists argue that before carrying out ‘active cognitive therapy’ techniques, it is important to establish a therapeutic alliance from which to work (Rector, Zuroff, & Segal, 1999).…”

Section: Discussionmentioning

confidence: 99%

Engaging hard to engage clients: A Q methodological study involving clinical psychologists

Lister¹,

Gardner

2006

Psychol Psychother

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This research uses Q methodology to collate a number of techniques, and to investigate what techniques are used to encourage engagement across a number of clinical psychology specialities. Eleven groups of participants from different clinical specialities were interviewed in order to develop a set of 51 statements reflecting engagement techniques that clinicians felt that they were likely to use with 'hard to engage' clients. Seventy-five participants from a similar range of specialities were then asked to Q sort these statements and provide other demographic information. Forty-four participants returned completed Q sorts which were factor analysed by a tailored program (PQ Method) to investigate how the statements fall into patterns that reflect ways clinicians approach engagement. Varimax rotation produced five factors, four of which were able to be interpreted by participant information and comments. These accounts were taken back to some of the initial participants for 'reflexive correction' (Stainton Rogers, 1995). The four factor patterns are discussed in relation to existing literature and the research questions. These identified factors are: (i) the client focused approach; (ii) the interpersonal professional; (iii) the 'eclectic' or systemic approach; (iv) the expert listener. The implications for training, clinical practice and research are discussed.

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Section: Discussionmentioning

confidence: 99%

Engaging hard to engage clients: A Q methodological study involving clinical psychologists

Lister¹,

Gardner

2006

Psychol Psychother

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“…The idea that the patient is a consumer of mental health services is not new, but the implications this has for the relationship has not been studied a great deal. 120 The concept of 'user-friendliness' has been developed as a process by which patients are asked specifically about the quality of their relationship with their therapist. 91…”

Section: Patient Rolesmentioning

confidence: 99%

A review and critical appraisal of measures of therapist-patient interactions in mental health settings

Cahill¹,

Barkham²,

Hardy³

et al. 2008

Health Technol Assess

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“…As Reimers (2001) points out, one alternative to simply removing families from the waiting list is the offer of an alternative and shorter service. Stallard and Sayers (1998) offered families on a child psychiatry waiting list the option of either confirming that they CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY 9(3) wished to stay on the list (and wait an average over five and a half months), or opt for an immediate assessment and treatment of three sessions.…”

Section: Systemic or Clinic-related Factorsmentioning

confidence: 99%

Non-Attendance at Initial Out-Patient Appointments at a Hospital-Based Child Psychiatric Clinic

Minty

Anderson

2004

Clin Child Psychol Psychiatry

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A B S T R A C TNon-attendance at initial Child and Adolescent Mental Health Services outpatient appointments has been a major problem for staff and (indirectly) for families. The findings presented in this article are, to some extent, in line with previous studies of non-attendance, and to some extent go beyond them. The article organizes findings from previous studies and our own results into four categories: demographic, referral related, system (clinic) related and personal or family related. It focuses on demographic and system-related factors, and reports several significant findings in these areas. Making contact with the family prior to the date of the appointment seems to be a very potent factor in avoiding nonattendance, particularly when the family are asked to confirm whether they will be attending. Demographic factors such as the possession of a car, poverty, single parenthood, and having to care for other dependent relatives are significantly related to attendance rates, either positively or negatively. The quality of the referral letter seemed in some circumstances to be highly related to attendance. Suggestions are made on how to reach out to families that find it hard to attend initial appointments. K E Y W O R D S CAMHS, non-attendance, poverty, pre-clinical contactN O N -AT T E N DA N C E AT initial out-patient appointments in Child and Adolescent Mental Health Service (CAMHS) clinics may incur the waste of several hours time on each occasion for all the professionals involved; and, additionally, for teaching units, the loss of valuable experience for undergraduate doctors and other professionals in training. Frustration levels will be increased where there are long waiting lists, which are harmful to families, and which attract managerial and political concern. Several studies have found an association between the length of time spent on the waiting list and

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Understanding alliances. How can research inform user‐friendly practice?

Cited by 18 publications

References 25 publications

Engaging hard to engage clients: A Q methodological study involving clinical psychologists

Engaging hard to engage clients: A Q methodological study involving clinical psychologists

A review and critical appraisal of measures of therapist-patient interactions in mental health settings

Non-Attendance at Initial Out-Patient Appointments at a Hospital-Based Child Psychiatric Clinic

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