Engagement within the context of a therapeutic relationship is defined as a point at which the client views treatment as a meaningful and important process (Friedlander, Escudero & Heatherington, 2006; Yatchmenoff, 2005; Tetley et al., 2011; Welsh & McGrain, 2008). It involves developing “agreement with the therapist on the goals and tasks of treatment” (Friedlander et al., 2006, p. 72). Engagement can also be described as the therapeutic relationship or therapeutic alliance that exists between the therapist and the client (Yatchmenoff, 2005; Tetley et al., 2011). The therapeutic relationship is structured by the goals of therapy that are created through collaboration between the therapist and client (Friedlander et al., 2006).The engagement process is sometimes identified using other terms such as cooperation, collaboration, participation or buy in (Yachmenoff, 2005; Tetley et al., 2011). Yachmenoff (2005) defined a client’s buy in as expectancy plus involvement.2