Longitudinal association of therapeutic alliance and clinical outcomes in supported housing for chronically homeless adults.
Community Ment Health J
; 49(4): 438-43, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-22820927
ABSTRACT
General psychotherapy research has underscored the importance of the therapeutic alliance in client outcomes. This study examined the association between therapeutic alliance and client outcomes specifically between chronically homeless clients in a supported housing program and their case managers. Using data from a federal supported housing initiative, participants were categorized into those who rated their therapeutic alliance with case managers at 3 months as relatively high (top 75th percentile; n = 123), relatively low (bottom 25th percentile; n = 128), or did not identify any primary mental health provider at 3 months (n = 205). Controlling for baseline differences, there were no group differences on any outcomes, except that participants who rated high therapeutic alliance at 3 months reported the highest subjective quality of life and perceived social support. Client outcomes in supported housing may rely more on practical assistance and access to other services than the quality of the therapeutic relationship with their primary mental health provider.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Habitação Popular
/
Pessoas Mal Alojadas
/
Doença Crônica
/
Avaliação de Resultados em Cuidados de Saúde
/
Administração de Caso
/
Serviços de Saúde Mental
Tipo de estudo:
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Limite:
Adult
/
Humans
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Community Ment Health J
Ano de publicação:
2013
Tipo de documento:
Article