Original ArticleThe Implications of “Working Alliance” for the Measurement and Evaluation of Family-centered Practice in Childhood Disability ServicesTrute, Barry PhD; Hiebert-Murphy, Diane PhDAuthor Information Faculty of Social Work, University of Calgary, Alberta (Dr Trute), and the University of Manitoba, Winnipeg, Manitoba (Dr Hiebert- Murphy), Canada. Corresponding author: Barry Trute, PhD, University of Calgary, Alberta, Canada T2N 1N4 (e-mail: [email protected]). This research was supported by a grant from the Social Sciences & Humanities Research Council of Canada (SSHRC #828-1999-1037). Infants & Young Children: April 2007 - Volume 20 - Issue 2 - p 109-119 doi: 10.1097/01.IYC.0000264479.50817.4b Buy Metrics Abstract Family-centered practice in childhood disability services has been found to be positively related to consumer satisfaction. This study explores the relationship between family-centered practice and parental satisfaction with services, while controlling for the quality of the relational dimension or “working alliance” between professionals and parents. Mothers of young children who were 4 years of age on average and with developmental and cognitive disabilities were surveyed in 103 Canadian families after they had been receiving community-based services for approximately 18 months. Hierarchical regression analyses showed that family-centered practice continued to be strongly related to positive consumer satisfaction with child disability services, even when the influence of working alliance was controlled. This finding was consistently found when 2 well-established measures of “family-centeredness” (Measure of Processes of Care-20 and Family Centered Behavior Scale) were independently utilized to evaluate the delivery of childhood disability services. Findings suggest that “working alliance” is a unique practice element that appears to operate in concert with family-centered methods in the achievement of positive consumer satisfaction when delivering family-centered childhood disability services. ©2007Lippincott Williams & Wilkins, Inc.