Child, caregiver, and therapist perspectives on therapeutic alliance in usual care child psychotherapy. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.Īccurso, E.C. Our findings demonstrate that key stakeholders agree on important aspects and that these could be a catalyst for renewed training and support structures.Ĭhild Delphi adolescent therapeutic alliance therapeutic relationship. It is essential that staff members are open and honest in facilitating discussions about parental involvement within the relationship and that staff provide consistent and trusting support to young people and family members. Effective therapeutic relationships require key behaviours and approaches from clinicians. Factors that hindered a good relationship were inconsistencies and lack of clear communication between all groups (n = 18 consensus agreement statements). Factors that help build good relationships predominantly referred to staff behaviours of setting up open communication channels, showing acceptance of the young person's difficulties and being consistent (n = 88 consensus agreement statements). Consensus was reached to define the therapeutic relationship as trust, reliability and absence of judgemental attitudes (n = 19 statements). Three expert groups (young people, carers and staff) totalling 88 participants were invited to complete an online Delphi survey across three rounds. The Delphi method was used to gain consensus regarding the definition of therapeutic relationships, what helps to build and what hinders the formation of a good relationship in the context of CAMHS.

Relationships within CAMHS are inherently complex, with multiple relationships taking place between young people, parents or carers and staff members of various disciplines. However, there is comparatively little research on what constitutes and impacts therapeutic relationships in the context of child and adolescent mental health services (CAMHS). Therapeutic relationships have been widely recognized as crucial to good outcomes in psychotherapy.

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