Yale Program for Recovery and Community Health, Department of Psychiatry, Yale School of Medicine, 319 Peck Street, Building 1, New Haven, CT 06513, USA.
Community Ment Health J. 2011 Aug;47(4):424-35. doi: 10.1007/s10597-010-9337-x. Epub 2010 Aug 4.
The present study examined the relationship between case managers' expectations about the abilities of persons diagnosed with schizophrenia and the outcomes (as indicated via chart review) of a randomly selected sample of clients diagnosed with schizophrenia on their caseload. Results indicate that clients of case managers with higher expectations averaged significantly more months of progress in employment than clients of case managers with lower expectations. Case manager expectations were also better predictors of the number of days employed than other case manager and consumer characteristics, however the type of expectation was a critical determinant of the direction of the effect. Case manager expectations were not related to outcomes in living situation.
本研究考察了个案经理对被诊断为精神分裂症患者能力的期望与他们随机选择的一组被诊断为精神分裂症患者的客户的结果(通过图表审查)之间的关系。结果表明,与期望较低的个案经理的客户相比,期望较高的个案经理的客户在就业方面的平均进展时间明显更长。个案经理的期望也比其他个案经理和消费者特征更好地预测了就业天数,但期望的类型是影响方向的关键决定因素。个案经理的期望与生活状况的结果无关。