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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.
Some patients need medication, some talk therapy and some both; all need to be given time in an unhurried way to establish an empathic bond and strong working alliance with their doctor.
Furthermore, authors using other scales or other versions of the WAI have also provided evidence for a comparably strong working alliance in online settings as in face-to-face therapy.
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.
This finding is in line with previous studies reporting that a strong working alliance, comparable to that formed in face-to-face settings, can also be established in online settings.
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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.
The total score ranges from 12 to 84, with higher scores indicating a stronger working alliance.
We observed that those with a stronger working alliance with their case manager were more likely to have improved outcomes in the community integration (both physical and psychological) and in quality of life domains.
The study design allows us to conclude that the prescription of an LAI is most likely to have produced a deterioration of working alliance and this is a strong argument for service user choice.
Our study contributes to a better understanding of the working alliance in internet-supported therapeutic interventions, replicating previous findings [ 18, 20, 22- 25] showing that a strong working alliance can be established in an online setting, comparable to that established in face-to-face settings.
Previous analysis of the online working alliance early in treatment revealed no substantial correlation between the working alliance and treatment outcome [ 36].
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CEO of Professional Science Editing for Scientists @ prosciediting.com