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Working alliance with mandated clients
Centre Social Innovation HU University of Applied Sciences.
Anneke Menger, Annelies Sturm, Andrea Donker
24 may 2018 Prato, Italy
Presentation outline
Effective one-to-one supervision
Factors of working alliance in mandated context
Patterns of working alliance
Predictors of patterns
Effective one-to one supervision
What works: what kind of interventions are effective in
reducing reoffending, re-integration and inclusion of
offenders in society?
evidence-based interventions
Effective one-to one supervision
Who works: interventions can only be effective in hands
of effective professionals
effective interaction
Concept of working alliance
Developed as a critic on concept of relationship
Presumes two actors
Concept is about the quality of their mutual
collaboration, with the elements: common goals,
common tasks and bond
Working alliance is not an aim in itself, but the alliance
facilitates other aims
Working alliance with mandated clients
Are these elements valid for probation/mandated clients?
goals can differ, especially in the first contacts
clients can feel and show reactance, as a protest
against the constraints of being supervised within
judicial conditions
we cannot presume internal motivation at the start
How can we adapt the concept of working alliance for
mandated clients?
Longitudinal study: dissertation
Anneke Menger*
In three probation organizations in the Netherlands: the
Dutch Probation Service, Probation for Addicts and
Salvation Army
Questions:
1.What are specific elements of the working alliance with
mandated clients?
2.What is the importance of these elements for the result?
*Menger, A. (2018): De werkalliantie in het gedwongen kader, onderzocht bij het
reclasseringstoezicht. (Working Alliance with Mandated Clients, investigated in probation
supervision) Delft: Eburon
Development of the Working Alliance with
Mandated Clients inventory (WAMCI)
Based on:
Offender-Version (Tatman & Love, 2010) of the Working
Alliance Inventory (WAI, Horvath & Greenberg, 1986)
Dual-Role Relationships Inventory-Revised (DRI-R; Skeem
et al., 2007)
Extra items for probationers about regulations, goals and
tasks and reactance(adapted to the Dutch jurisdiction)
Extra items for PO’s about contra-reactance
Design
Start 6-9
mths
12 – 18
mths
Probation supervision (2 years)
End
267 pairs of probation officers and clients
Outcome measures
Compliance
Formal reactions of PO
Drop-out
Selection of suitable factors
1. Predictive value for proxy-outcome measures
2. PCA-analysis
3. SEM-analysis
Trust (5 items)
Cronbach’s alpha = .68-.81
Client:
Feels free enough to speak about his problems
Feels the probation officers trusts him/her.
Probation officer:
Trusts the client to be sufficiently open about
problems in his life and in the interaction with the
probation officer.
Cronbach’s alpha = .71 - .77
Client
Has a clear idea about the goals, the tasks and the
conditions
Agrees with the goals, tasks and conditions
Probation officer
Estimates the restrictions and conditions are clear
Estimates the goals are agreed upon
Goals and restrictions
(6/5 items)
Bond (6 items)
Cronbach’s alpha = .72-.81
Client
Feels he is respected,
Feels he has voice in talking about goals and tasks
Probation officer
Feels sufficient affection to show empathy and continue
when problems or frictions rise.
Has a sense of common commitment on goals and tasks
Reactance/contrareactance
(4 items)
Cronbach’s alpha =.50-.72
Client:
Feelings and behavior that indicate reactance
Has doubts on his capability to finish supervision in a
good way
Probation officer:
Feels he/she is ‘too’ controlling with this client and
doesn’t know how to change
Cannot notice any collaboration by the client
WAMCI versus DRI-R/WAI
Trust = Trust in DRI-R + 1 item from
toughness
Bond = Bond in WAI + items about
goals and task
Goals and = combination of WAI and DRI-R and
restrictions all items about clearness
Reactance = no similarity with toughness of
DRI-R, different items
Questions, some examples
G&R My PO always explains to me clearly what he/she
expects me to do
I explain clearly what I expect of him/her
Trust I can openly talk about the things that bother me.
My client feels he/she can talk openly
about things that bothers him/her
Bond My PO respects me, even if I do something he/she
disapproves.
My client feels respected by me, even if
he/she does something I disapprove
Reactance I suggest things are better than they are
My client suggests things better than they
Relationship between working
alliance and outcome
Client:
stagnations and drop-outs
stagnations
*
*
*p <.05
Relationship between working
alliance and outcome
Probation officer:
stagnations
drop-outs
*p <.05, ** p<.01
*
**
**
**
Relationship between working
alliance and outcome
From a combined perspective, a bigger absolute
difference between the PO and client in trust,
reactance, and bond, seemed to go together with
more stagnations in supervision.
The combination of more goals & restrictions (clients),
with reactance (PO) and less trust is correlated with
more stagnations.
Follow-up
Study 1: Dynamics of working alliance, patterns and
importance of client-rated alliance
Study 2: Working alliance in offender subgroups
Study 3: Use of the WAMCI as professional tool for
joint reflection
Patterns of client-rated working
alliance
Does the working alliance, rated by
probationers show discernable patterns?
What are the predictors of these patterns?
PO-related: motivation for work, satisfaction with
work, expected outcome
Client-related: risk-level, motivation, change of PO,
age first conviction
Reliable Change Index
3 subgroups:
Stable: 76%
Deteriorating: 13,7%
Improving: 10,3 %
Course of the three subgroups
of the WAMCI (N=204)
Relationship characteristics
and patterns
Probation officer:
Preference for the deteriorating pattern**
possibility of sanctions
Concerned about deteriorating pattern**
offenders
Thinks about incidents improving pattern*
*p <.05, ** p<.01
Relationship characteristics
and patterns
Client:
Change of PO deteriorating pattern**
Less internal motivation deteriorating pattern**
Lower age at deteriorating*pattern*
first conviction
*p <.05, ** p<.01
Limitations
Outcome measures, formulated only from a formal
probation perspective;
The deviation in representativeness in the sample of
probationers;
High level of clients’ ratings, suggesting a
considerable social desirability
The reactance factor was not consistent enough from
clients’ perspective.
Further research
Relationship between working alliance and recidivism
Different groups of offenders, type of offense
In-depth study of patterns, ruptures in alliance
Applicability in practice
Thank you
Information:
anneke.menger@hu.nl
annelies.sturm@hu.nl

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Working alliance with mandated clients

  • 1. Working alliance with mandated clients Centre Social Innovation HU University of Applied Sciences. Anneke Menger, Annelies Sturm, Andrea Donker 24 may 2018 Prato, Italy
  • 2. Presentation outline Effective one-to-one supervision Factors of working alliance in mandated context Patterns of working alliance Predictors of patterns
  • 3. Effective one-to one supervision What works: what kind of interventions are effective in reducing reoffending, re-integration and inclusion of offenders in society? evidence-based interventions
  • 4. Effective one-to one supervision Who works: interventions can only be effective in hands of effective professionals effective interaction
  • 5. Concept of working alliance Developed as a critic on concept of relationship Presumes two actors Concept is about the quality of their mutual collaboration, with the elements: common goals, common tasks and bond Working alliance is not an aim in itself, but the alliance facilitates other aims
  • 6. Working alliance with mandated clients Are these elements valid for probation/mandated clients? goals can differ, especially in the first contacts clients can feel and show reactance, as a protest against the constraints of being supervised within judicial conditions we cannot presume internal motivation at the start How can we adapt the concept of working alliance for mandated clients?
  • 7. Longitudinal study: dissertation Anneke Menger* In three probation organizations in the Netherlands: the Dutch Probation Service, Probation for Addicts and Salvation Army Questions: 1.What are specific elements of the working alliance with mandated clients? 2.What is the importance of these elements for the result? *Menger, A. (2018): De werkalliantie in het gedwongen kader, onderzocht bij het reclasseringstoezicht. (Working Alliance with Mandated Clients, investigated in probation supervision) Delft: Eburon
  • 8. Development of the Working Alliance with Mandated Clients inventory (WAMCI) Based on: Offender-Version (Tatman & Love, 2010) of the Working Alliance Inventory (WAI, Horvath & Greenberg, 1986) Dual-Role Relationships Inventory-Revised (DRI-R; Skeem et al., 2007) Extra items for probationers about regulations, goals and tasks and reactance(adapted to the Dutch jurisdiction) Extra items for PO’s about contra-reactance
  • 9. Design Start 6-9 mths 12 – 18 mths Probation supervision (2 years) End 267 pairs of probation officers and clients
  • 11. Selection of suitable factors 1. Predictive value for proxy-outcome measures 2. PCA-analysis 3. SEM-analysis
  • 12. Trust (5 items) Cronbach’s alpha = .68-.81 Client: Feels free enough to speak about his problems Feels the probation officers trusts him/her. Probation officer: Trusts the client to be sufficiently open about problems in his life and in the interaction with the probation officer.
  • 13. Cronbach’s alpha = .71 - .77 Client Has a clear idea about the goals, the tasks and the conditions Agrees with the goals, tasks and conditions Probation officer Estimates the restrictions and conditions are clear Estimates the goals are agreed upon Goals and restrictions (6/5 items)
  • 14. Bond (6 items) Cronbach’s alpha = .72-.81 Client Feels he is respected, Feels he has voice in talking about goals and tasks Probation officer Feels sufficient affection to show empathy and continue when problems or frictions rise. Has a sense of common commitment on goals and tasks
  • 15. Reactance/contrareactance (4 items) Cronbach’s alpha =.50-.72 Client: Feelings and behavior that indicate reactance Has doubts on his capability to finish supervision in a good way Probation officer: Feels he/she is ‘too’ controlling with this client and doesn’t know how to change Cannot notice any collaboration by the client
  • 16. WAMCI versus DRI-R/WAI Trust = Trust in DRI-R + 1 item from toughness Bond = Bond in WAI + items about goals and task Goals and = combination of WAI and DRI-R and restrictions all items about clearness Reactance = no similarity with toughness of DRI-R, different items
  • 17. Questions, some examples G&R My PO always explains to me clearly what he/she expects me to do I explain clearly what I expect of him/her Trust I can openly talk about the things that bother me. My client feels he/she can talk openly about things that bothers him/her Bond My PO respects me, even if I do something he/she disapproves. My client feels respected by me, even if he/she does something I disapprove Reactance I suggest things are better than they are My client suggests things better than they
  • 18. Relationship between working alliance and outcome Client: stagnations and drop-outs stagnations * * *p <.05
  • 19. Relationship between working alliance and outcome Probation officer: stagnations drop-outs *p <.05, ** p<.01 * ** ** **
  • 20. Relationship between working alliance and outcome From a combined perspective, a bigger absolute difference between the PO and client in trust, reactance, and bond, seemed to go together with more stagnations in supervision. The combination of more goals & restrictions (clients), with reactance (PO) and less trust is correlated with more stagnations.
  • 21. Follow-up Study 1: Dynamics of working alliance, patterns and importance of client-rated alliance Study 2: Working alliance in offender subgroups Study 3: Use of the WAMCI as professional tool for joint reflection
  • 22. Patterns of client-rated working alliance Does the working alliance, rated by probationers show discernable patterns? What are the predictors of these patterns? PO-related: motivation for work, satisfaction with work, expected outcome Client-related: risk-level, motivation, change of PO, age first conviction
  • 23. Reliable Change Index 3 subgroups: Stable: 76% Deteriorating: 13,7% Improving: 10,3 %
  • 24. Course of the three subgroups of the WAMCI (N=204)
  • 25. Relationship characteristics and patterns Probation officer: Preference for the deteriorating pattern** possibility of sanctions Concerned about deteriorating pattern** offenders Thinks about incidents improving pattern* *p <.05, ** p<.01
  • 26. Relationship characteristics and patterns Client: Change of PO deteriorating pattern** Less internal motivation deteriorating pattern** Lower age at deteriorating*pattern* first conviction *p <.05, ** p<.01
  • 27. Limitations Outcome measures, formulated only from a formal probation perspective; The deviation in representativeness in the sample of probationers; High level of clients’ ratings, suggesting a considerable social desirability The reactance factor was not consistent enough from clients’ perspective.
  • 28. Further research Relationship between working alliance and recidivism Different groups of offenders, type of offense In-depth study of patterns, ruptures in alliance Applicability in practice