Relating counselor attributes to client engagement in England

D Simpson, GA Rowan-Szal, GW Joe, David Best, Edward Day, A Campbell

    Research output: Contribution to journalArticle

    26 Citations (Scopus)

    Abstract

    Client functioning and treatment engagement were examined in relation to staff attributes and organizational climate across a diverse sample of drug treatment and outreach programs in England. Self-rating assessments were obtained from 1,539 clients and 439 counselors representing 44 programs, and results were interpreted using comparable data from studies of treatment programs in the United States. Client scores on treatment participation and counseling rapport in England were directly related to their higher levels of motivation and psychosocial functioning, as well as to staff ratings of professional attributes and program atmosphere. By linking records from English clients with their counselors in each program, findings also indicate these relationships are rooted in the personal interactions between clients and their counselor. Standardized assessments of treatment structure, process, and performance used across therapeutic settings and national boundaries show there is generalizability in the pattern of clinical dynamics, including the relationships between organizational functioning and quality of services.
    Original languageEnglish
    Pages (from-to)313-320
    Number of pages8
    JournalJournal of Substance Abuse Treatment
    Volume36
    Issue number3
    DOIs
    Publication statusPublished - 1 Apr 2009

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