Exploring the Youth and Parent Perspective on Practitioner Behaviors That Promote Treatment Engagement

Treatment engagement is critically important to child and family social work practitioners, given its documented relationship with youth and family outcomes. Despite this, little is known regarding the practice behaviors youth and parents perceive as important for promoting their engagement in treatment. The purpose of this study was to explore the perspective of youth and parents regarding practitioner behaviors important for fostering treatment engagement. Three semistructured focus groups were conducted with 30 youth and parents. Using a constant comparative analysis procedure, two domains of practice behaviors emerged: developing the therapeutic alliance and collaborative service delivery. Specific alliance-building behaviors included building rapport and demonstrating care, acknowledging and listening to the youth and family perspective, asking questions, not judging youth and parents, allowing youth and family input to direct care, and supporting motivation to change. Collaborative practice behaviors included providing culturally competent services, sharing treatment information, demonstrating awareness of other services/supports, and engaging other meaningful adults. Youth and parents both discussed the importance of these practice behaviors. Youth, however, seemed to emphasize the therapeutic alliance more than parents in the sample. Clinical implications for family social work practitioners regarding these key practice behaviors are discussed.