Division of Mental Health, St. George's, University of London, London, UK.
Soc Psychiatry Psychiatr Epidemiol. 2010 Dec;45(12):1187-93. doi: 10.1007/s00127-009-0163-9. Epub 2009 Nov 14.
To determine the distinctions between the client-keyworker relationship and the client-vocational worker relationship by assessing their impact on clinical outcomes and exploring the associations between the two.
As part of an international randomised controlled trial of supported employment (n = 312), client-keyworker relationship and client-vocational worker relationship were each tested against clinical and social functioning 6 months later. Associations between the two relationships over time were explored.
Client-keyworker relationship predicted quality of life, while client-vocational worker relationship, as rated by the client, did not predict any clinical or social functioning outcomes. Vocational worker-rated relationship predicted reduced depression. The client-keyworker and client-vocational worker relationships were correlated, but this did not change over time.
The impact of the client-vocational worker is likely to be on the shared task of finding employment, rather than on clinical and social functioning. Good client-vocational worker relationships do not detract from client-keyworker relationships.
通过评估客户-关键工作者关系和客户-职业工作者关系对临床结果的影响，并探讨两者之间的关联，来确定这两种关系之间的区别。
作为支持性就业的国际随机对照试验的一部分（n=312），在 6 个月后，将客户-关键工作者关系和客户-职业工作者关系分别与临床和社会功能进行对比。并探讨了这两种关系随时间的关联。
客户-关键工作者关系预测了生活质量，而客户-职业工作者关系（由客户评定）并未预测任何临床或社会功能结果。职业工作者评定的关系预测抑郁减少。客户-关键工作者和客户-职业工作者关系之间存在相关性，但这种相关性并未随时间而改变。
客户-职业工作者的影响可能在于寻找工作这一共同任务上，而不是在临床和社会功能上。良好的客户-职业工作者关系不会影响客户-关键工作者关系。
