Columbia University, New York, New York 10027, USA.
Qual Health Res. 2012 Mar;22(3):373-83. doi: 10.1177/1049732311421180. Epub 2011 Sep 2.
We applied grounded theory methodology to generate a working relationship model that influences motivation for stable housing among homeless people with serious mental illness, to understand the role of a working relationship in critical service transitions. We focused on practitioners' perspectives and practices in Critical Time Intervention (CTI), a community intervention aimed to reduce homelessness through providing support during the transition from institutional to community living. We found a working relationship that highlighted "nonauthoritative" and "humanistic" features. Workers respected client autonomy and maintained flexibility in the format of client contact and service activities. They used practice strategies including following client leads and informal relating approaches to facilitate the development of client trust. The trusting relationship enhanced client interest in obtaining housing and the commitment to the transformation crucial for retaining housing. We discuss the significance of the relationship and ethical considerations of relationship-building activities in community mental health practices.
我们应用扎根理论方法生成了一个工作关系模型，该模型影响着患有严重精神疾病的无家可归者获得稳定住房的动机，以了解工作关系在关键服务转变中的作用。我们专注于从业者在关键时间干预 (CTI) 中的观点和实践，这是一项旨在通过在从机构到社区生活的过渡期间提供支持来减少无家可归现象的社区干预措施。我们发现了一种工作关系，其突出了“非权威”和“人本主义”的特点。工作人员尊重客户的自主权，并保持客户联系和服务活动形式的灵活性。他们使用实践策略，包括跟随客户的引导和采用非正式的关系方法，以促进客户信任的发展。这种信任关系增强了客户对获得住房的兴趣以及对保留住房至关重要的转变的承诺。我们讨论了这种关系的重要性以及在社区心理健康实践中建立关系活动的伦理考虑。
