The therapeutic alliance between multidisciplinary teams and
parents within youth (semi) residential psychiatry is essential for the treatment
process and forms a promising process variable for Routine Outcome Monitoring
(ROM). No short evaluative instrument, however, is currently available to
assess parent-team alliance.
In this study, the Working Alliance Inventory-Short Version
(WAV-12), a widely used alliance questionnaire, was adjusted to assess
parent-team alliance from both a parent and team perspective within a youth
residential setting. Psychometric properties, including factor structure and
validity of the subscales, were explored.
A sample of youth with mainly complex developmental
disorders admitted to 11 inpatient and day patient units of a child and
adolescent psychiatric institute participated in this study. The case manager
involved with the youth and the primary caregiver of 87 youth completed the
revised WAV-12 (WAV-12R).
The team version of the WAV-12R showed a good fit to the
original conceptualized model, and distinguished Bond, Task and Goal scales.
For the parents’ version an adjusted model with Insight, Bond and combined
Task/Goal scales had the best fit. The reliability and validity of the scales
were shown to be good.
This paper presents preliminary evidence that the parent and
treatment team versions of the WAV-12R are psychometrically sound for assessing
parent-team alliance within youth (semi) residential psychiatry in the
Netherlands. The team and parents’ versions of the WAV-12R are recommended
instruments to complement outcome measures in ROM.
Box 1
English translation of the items for the two versions of the WAV-12R
| Questions in the treatment team version of the WAV-12R |
| 1. One result of this treatment is that it is clearer for parents how they and their child could change |
| 2. Parents and I have confidence in the usefulness of our current activities in the treatment |
| 3. I believe that parents like me |
| 4. Parents and I worked together to determine treatment goals |
| 5. Parents and I respect each other |
| 6. Parents and I work on treatment goals we all agreed upon |
| 7. I appreciate parents as persons |
| 8. Parents and I agree about what is important to work on |
| 9. I respect parents, even if they do things I don’t approve of |
| 10. I am confident that the things we do in treatment will help parents to achieve the changes they want for their child and family |
| 11. The parents and I have formed a good understanding of the kind of changes that would be good for their child and them |
| 12. Parents believe that the way of working on the problems of their child is the right way |
| Questions in the caregiver version of the WAV-12R |
| 1. One result of this treatment is that it is clearer for me how my child can change |
| 2. What I do in this treatment gives me more insight into my child’s problems |
| 3. I believe the treatment team likes me |
| 4. The treatment team and I work together in determining the treatment goals |
| 5. The treatment team and I respect each other |
| 6. The treatment team and I work on treatment goals we all agreed upon |
| 7. I feel appreciated by the treatment team |
| 8. The treatment team and I agree about what is important for us to work on |
| 9. I feel the treatment team cares for us, even if we do things they disapprove of |
| 10. I think that my contribution to this treatment will help me and my child to achieve the changes we want |
| 11. The treatment team and I have formed a clear understanding of the kind of changes that would be good for us |
| 12. I believe that the way we work on the problems is the right way |
Full article
at:
Department of
Child and Adolescent Psychiatry, Curium-Leiden University Medical Center,
Endegeesterstraatweg 27, 2342 AK Oegstgeest, The Netherlands
Department of
Psychology, Texas A&M University, College Station, TX USA
Praktikon,
Radboud University Nijmegen, Nijmegen, The Netherlands
Audri Lamers, Email: ln.muiruc@sremal.a.
More at: https://twitter.com/hiv_insight
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