We investigated the potential role of first-session therapeutic alliance ratings to serve as an early marker of treatment outcome in youth mental health and addiction treatment. The present study... Show moreWe investigated the potential role of first-session therapeutic alliance ratings to serve as an early marker of treatment outcome in youth mental health and addiction treatment. The present study is among the first to incorporate both a youths' and a therapists' perspective of the therapeutic alliance in order to maximize predictive value of the alliance for treatment outcome. One hundred and twenty-seven adolescents participated in a multi-site prospective naturalistic clinical cohort study, with assessments at baseline and at 4 months post-baseline. Main outcome measure was favorable or unfavorable treatment outcome status at 4-month follow-up. Early therapeutic alliance had a medium and robust association with treatment outcome for youth' (b = 1.29) and therapist' (b = 1.12) perspectives and treatment setting. Based on the two alliance perspectives four subgroups were distinguished. Incorporating the alliance-ratings from both perspectives provided a stronger predictor of treatment outcome than using one perspective. Youth with a strong alliance according to both perspectives had an eightfold odds of favorable treatment outcome compared with youth with a weak alliance according to both perspectives. The association between therapeutic alliance and treatment outcome in youth mental health and addiction treatment may be substantially stronger than earlier assumed when both a youths' and therapists' perspective on alliance is considered. Show less
Herbrink, M.; Nuijten, M.; Nuijen, B.; Huitema, A.D.R.; Beijnen, J.H.; Hendriks, V.M.; ... ; Brink, W. van den 2018
Oratie uitgesproken door prof.dr. Vincent Hendriks bij de aanvaarding van het ambt van bijzonder hoogleraar op het gebied van Verslaving en Psychiatrische Comorbiditeit bij Jeugdigen aan de... Show moreOratie uitgesproken door prof.dr. Vincent Hendriks bij de aanvaarding van het ambt van bijzonder hoogleraar op het gebied van Verslaving en Psychiatrische Comorbiditeit bij Jeugdigen aan de Universiteit Leiden vanwege de Parnassia Groep op vrijdag 4 december 2015 Show less
