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Relating counselor attributes to client engagement in England

Research output: Contribution to journalArticle

Dwayne Simpson, Grace A. Rowan-Szal, George W. Joe, David Best, Edward Day, Angela Campbell

Original languageEnglish
Pages (from-to)313-320
Number of pages8
JournalJournal of Substance Abuse Treatment
Volume36
Issue number3
DOIs
Publication statusPublished - Apr 2009

King's Authors

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. (C) 2009 Elsevier Inc. All rights reserved.

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