The working alliance between homeless young adults and workers: A dyadic approach |
| |
| Institution: | 1. Radboud University Medical Center, Department of Primary and Community Care, Impuls-Netherlands Center for Social Care Research, PO Box 9101, 6500 HB Nijmegen, The Netherlands;2. Behavioural Science Institute, Radboud University Nijmegen, The Netherlands;3. Department of Interdisciplinary Social Sciences, University of Utrecht,The Netherlands;1. University of Florida Department of Psychiatry, PO Box 100383, Gainesville, FL 32610;2. RTI International, 3040 Cornwallis Rd, PO Box 12194, Research Triangle Park, NC 27709–2194;3. University of Alabama, School of Social Work, 25 Little Hall, Tuscaloosa, AL 35487–0314;5. University of Texas Southwestern Medical Center, Department of Psychiatry, 5323 Harry Hines Blvd, Dallas, TX 75390;6. VA North Texas Health Care System and University of Texas Southwestern Medical Center, 6363 Forest Park Rd., Suite 651, Dallas, TX 75390–8828;1. Department of Psychiatry and Behavioral Sciences, University of Washington — Harborview Medical Center, 325 Ninth Ave Box 359911, Seattle, WA 98195, USA;2. VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, USA;3. Department of Psychiatry and Behavioral Sciences, University of Washington, 1100 45th St. Box 354944, Seattle, WA 98195, USA;4. Department of Medicine, University of Washington — Harborview Medical Center, 325 Ninth Ave, Box 359780, Seattle, WA 98195, USA;5. Downtown Emergency Service Center (DESC), 515 Third Ave, Seattle, WA 98104, USA;6. Evergreen Treatment Services — REACH, 1700 Airport Way S, Seattle, WA 98134, USA;4. Department of Bioethics and Humanities, University of Washington, Box 357120, Seattle, WA, United States of America;5. University of Washington, Institute for Public Health Genetics, in association with the Department of Psychiatry and Behavioral Sciences, 1959 NE Pacific Street, Box 356560, Seattle, WA 98195-6560, United States of America;6. Department of Veterans Affairs, HSR&D Center of Innovation for Veteran-Centered and Values-Driven Care, VA Puget Sound Health Care System, Seattle, WA, United States of America |
| |
| Abstract: | The development of a strong working alliance between homeless young adults and their social workers is seen as a critical component in the recovery process. The purpose of this study was to examine the composition of the working alliance between homeless young adults and their social workers, and its association with self-determination, resilience and quality of life. A sample of 102 homeless young adults and 32 social workers from ten Dutch shelter facilities participated. Homeless young adults were interviewed twice: when entering the facility (baseline) and sixth months after baseline or when care ended earlier. Social workers were questioned about the working alliance at follow-up. Data were analyzed by using a one-with-many design. Results showed that homeless young adults who generally reported strong alliances with their social worker, do not have a social worker who generally reported strong alliances (generalized reciprocity). In addition, if a young adult reported to have an especially strong alliance with his worker, this worker did not necessarily reported to have a strong alliance in return (dyadic reciprocity). Homeless young adults who perceived a stronger working alliance with their social worker than other young adults, who were supported by the same social worker, improved more on self-determination than young adults who reported to have a weaker alliance. Our results indicate that the working alliance is important in achieving outcomes. A dialogical approach should be encouraged in which young adults feel valued and safe enough to express their expectations and to build a strong working alliance. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
