The foundations of the working alliance in assertive community treatment teams

M. Van Haaren, S. De Jong, D. P. K. Roeg*

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background:
In this study, we aimed to identify and define the fundamental components of the working alliance in multidisciplinary (Flexible) Assertive Community Treatment teams with shared caseloads, in order to support their daily practice and further research.

Methods:
After reviewing the literature, concept mapping with professionals and clients was used to define the working alliance in (F) ACT teams. The resulting concept maps formed the basis for the working alliance assessment instrument, which was pilot tested with professionals and clients through cognitive interviews with a think-aloud procedure.

Results:
The study led to the development of a twenty five-item assessment instrument to evaluate working alliances in multidisciplinary teams (WAM) that was comprised of three subscales: bond, task/goal and team. Two different versions were developed for clients and professionals.

Conclusions:
The WAM instrument was developed to determine the quality of the working alliance in (F) ACT teams. Future research will focus on testing its psychometric properties and predictive value.
Original languageEnglish
Article number559
Number of pages11
JournalBMC Psychiatry
Volume21
Issue number1
DOIs
Publication statusPublished - 2021

Keywords

  • Assertive community treatment
  • Assessment instrument
  • HELPING ALLIANCE
  • INTENSIVE CASE-MANAGEMENT
  • Multidisciplinary team
  • PATIENT
  • PEOPLE
  • PREDICTORS
  • PROGRAMS
  • PSYCHOSIS
  • QUALITY INDICATORS
  • SEVERE MENTAL-ILLNESS
  • Shared caseload
  • THERAPEUTIC ALLIANCE
  • Working alliance

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