当前位置： SCI文献检索 > JOURNAL OF SUBSTANCE ABUSE TREATMENT期刊下所有文献 > Program, counselor, and patient variability in the alliance: a multilevel study of the alliance in relation to substance use outcomes.

Program, counselor, and patient variability in the alliance: a multilevel study of the alliance in relation to substance use outcomes.

Abstract：

:We explored patient, therapist, and program variability in the alliance in relation to drug and alcohol use during treatment, and whether alliance mediates the relation of program characteristics to drug/alcohol use. Data (N = 1,613 patients) were drawn from a randomized clinical trial investigating the efficacy of an intervention that provided alliance and outcome feedback to 112 counselors across 20 community-based outpatient substance abuse treatment clinics in the northeast United States. Program characteristics were measured using the Organization Readiness for Change scale. Using multilevel modeling, we found that alliance was related to both drug and alcohol use during the past week at the patient and program levels of analysis, but not the counselor level. Several program characteristics were related to average drug and alcohol use. The alliance was not a mediator of these relationships. Program variability in the alliance is important to the alliance-outcome relationship in the treatment of substance abuse. Better outcomes can be achieved by improving both organizational functioning and the patient-counselor alliance.

journal_name

J Subst Abuse Treat

journal_title

Journal of substance abuse treatment

authors

Crits-Christoph P,Hamilton JL,Ring-Kurtz S,Gallop R,McClure B,Kulaga A,Rotrosen J

doi

10.1016/j.jsat.2011.01.003

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

405-13

issue

4

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(11)00010-9

journal_volume

40

pub_type

杂志文章

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