Therapeutic alliance and treatment outcome in the primary care behavioral health model

Kent A. Corso, Craig J. Bryan, Meghan L. Corso, Kathryn E. Kanzler, David Houghton, Bobbie Ray-Sannerud, Chad E. Morrow

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

The current study investigated therapeutic alliance and clinical improvement within an integrated primary care behavioral health model. Participants included 542 primary care patients seen in two large family medicine clinics. Mental health symptoms and functioning were assessed using the 20-item Behavioral Health Measure (Kopta & Lowery, 2002) at the beginning of each patient appointment. Therapeutic alliance was measured with the Therapeutic Bond Scale (CelestHealth Solutions, 2008) following an initial appointment with one of 22 behavioral health consultants (BHCs). Primary care patients rated their therapeutic alliance following a first appointment with a BHC as statistically stronger than alliance ratings from a previously reported sample of outpatient psychotherapy patients after the second, third, and fourth psychotherapy sessions (Kopta, Saunders, Lutz, Kadison, & Hirsch, 2009). Results of a bootstrapped linear regression analysis indicated that therapeutic alliance assessed after the first primary care behavioral health appointment was not associated with eventual clinical change in mental health symptoms and functioning. A strong therapeutic alliance was able to be formed in a primary care behavioral health modality. This exceeded the magnitude found in outpatient psychotherapy alliance ratings. Early therapeutic alliance was unrelated to overall clinical improvement in primary care. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Original languageEnglish (US)
Pages (from-to)87-100
Number of pages14
JournalFamilies, Systems and Health
Volume30
Issue number2
DOIs
StatePublished - Jun 1 2012
Externally publishedYes

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Primary Health Care
Appointments and Schedules
Psychotherapy
Consultants
Therapeutics
Mental Health
Health
Outpatients
Linear Models
Regression Analysis
Medicine

Keywords

  • Integrated care
  • Primary care behavioral health
  • Specific factors
  • Therapeutic alliance
  • Treatment outcome

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Corso, K. A., Bryan, C. J., Corso, M. L., Kanzler, K. E., Houghton, D., Ray-Sannerud, B., & Morrow, C. E. (2012). Therapeutic alliance and treatment outcome in the primary care behavioral health model. Families, Systems and Health, 30(2), 87-100. https://doi.org/10.1037/a0028632

Therapeutic alliance and treatment outcome in the primary care behavioral health model. / Corso, Kent A.; Bryan, Craig J.; Corso, Meghan L.; Kanzler, Kathryn E.; Houghton, David; Ray-Sannerud, Bobbie; Morrow, Chad E.

In: Families, Systems and Health, Vol. 30, No. 2, 01.06.2012, p. 87-100.

Research output: Contribution to journalArticle

Corso, KA, Bryan, CJ, Corso, ML, Kanzler, KE, Houghton, D, Ray-Sannerud, B & Morrow, CE 2012, 'Therapeutic alliance and treatment outcome in the primary care behavioral health model', Families, Systems and Health, vol. 30, no. 2, pp. 87-100. https://doi.org/10.1037/a0028632
Corso, Kent A. ; Bryan, Craig J. ; Corso, Meghan L. ; Kanzler, Kathryn E. ; Houghton, David ; Ray-Sannerud, Bobbie ; Morrow, Chad E. / Therapeutic alliance and treatment outcome in the primary care behavioral health model. In: Families, Systems and Health. 2012 ; Vol. 30, No. 2. pp. 87-100.
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