Youth–Therapist and Parent–Therapist Match and Mismatch on Internalizing and Externalizing Treatment Goals as Predictors of Treatment Engagement

Author:

Yeh May123ORCID,Diaz Devynne123,Zerr Argero4,Macias Alisandra1,McCabe Kristen25

Affiliation:

1. Department of Psychology, San Diego State University, 5500 Campanile Dr., San Diego, CA 92182, USA

2. Child and Adolescent Services Research Center, San Diego, CA 92123, USA

3. Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., La Jolla, CA 92093, USA

4. Department of Psychology, California State University, Channel Islands, 1 University Dr., Camarillo, CA 93012, USA

5. Department of Psychological Sciences, University of San Diego, 5998 Alcala Park, San Diego, CA 92110, USA

Abstract

Therapist–client cognitive match upon key constructs such as treatment goals is purported to be an important component of culturally competent care. For adolescent clients, treatment may involve both youths and their parents, suggesting the need to consider both youth–therapist and parent–therapist perspectives. This longitudinal study examined broadband youth–therapist and parent–therapist treatment goal matching and mismatching in relationship to treatment engagement in a culturally diverse sample of 245 outpatient mental health service-using youth. Although goal matching/mismatching did not uniformly predict treatment engagement as measured by a total score, youth–therapist internalizing goal matching predicted better youth engagement, and parent–therapist externalizing goal mismatch marginally predicted worse parent engagement. When selected post hoc analyses examined relationships to four individual engagement dimensions, youth–therapist internalizing goal matches positively predicted youth Client–therapist interaction, Communication/Openness, Client’s perceived usefulness of therapy, and Collaboration with treatment, while parent–therapist externalizing goal mismatch negatively predicted parent Collaboration with treatment. Findings support the importance of cognitive match on treatment goals as well as the consideration of both parent and youth perspectives, matched and mismatched goals, internalizing and externalizing goals, and examining individual dimensions in addition to total scores of engagement.

Funder

National Institute of Mental Health (NIMH) of the National Institutes of Health

Publisher

MDPI AG

Subject

Industrial and Manufacturing Engineering,Materials Science (miscellaneous),Business and International Management

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