Article

Assessing Relationship Quality in Mandated Community Treatment: Blending Care With Control

Department of Psychology and Social Behavior, University of California, Irvine, CA 92697-7083, USA.
Psychological Assessment (Impact Factor: 2.99). 01/2008; 19(4):397-410. DOI: 10.1037/1040-3590.19.4.397
Source: PubMed

ABSTRACT Traditional measures of the therapeutic alliance do not capture the dual roles inherent in relationships with involuntary clients. Providers not only care for, but also have control over, involuntary clients. In 2 studies of probationers mandated to psychiatric treatment (n=90; n=322), the authors developed and validated the revised Dual-Role Relationships Inventory (DRI-R). The authors found that (a) relationship quality in mandated treatment involves caring and fairness, trust, and an authoritative (not authoritarian) style, (b) the DRI-R assesses these domains of relationship quality, is internally consistent, and relates in a theoretically coherent pattern with ratings of within-session behavior and with measures of the therapeutic alliance, relationship satisfaction, symptoms, and treatment motivation, and (c) the quality of dual-role relationships predicts future compliance with the rules, as assessed by probation violations and revocation. The DRI-R covaries with multiple domains more strongly than a leading measure of the therapeutic alliance, suggesting that it better captures the nature and effect of relationship quality in mandated treatment.

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    • "caring relationship with offenders, the more likely it is that the offender will avoid recidivism (Kennealy at el., 2012; Skeem et al., 2007). To the extent to which officers respond more harshly to offenders with mental disorder either out of frustration (see Skeem, Encandela, & Eno Louden, 2003), these offenders may be disproportionately more likely to return to custody. "
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    • "These placements may exacerbate a traumatic or stress response because of the stress related to prolonged confinement (Ford et al., 2007). Thus, approaches to enforcement based on problem solving, incentivizing behavior, counseling , and persuasion may be more helpful for these youths than confrontation and negative pressure (Skeem, Louden, Polaschek, & Camp, 2007; Vidal & Skeem, 2007). "
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    • "Data were collected by Skeem et al. (2007), who describe the basic study method in detail. "
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