VA New England Mental Illness Research, Education, and Clinical Center, West Haven, 950 Campbell Ave., 151D, West Haven, CT 06511, USA.
Community Ment Health J. 2013 Aug;49(4):438-43. doi: 10.1007/s10597-012-9518-x. Epub 2012 Jul 21.
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.
一般心理治疗研究强调了治疗联盟对客户结果的重要性。本研究专门探讨了治疗联盟与客户结果之间的关联，特别是在支持性住房计划中患有慢性无家可归症的客户及其个案经理之间。该研究使用了联邦支持性住房计划的数据，参与者被分为三组：在 3 个月时将与个案经理的治疗联盟评为相对较高（前 75%；n=123）、相对较低（后 25%；n=128）或在 3 个月时未确定任何主要心理健康提供者（n=205）。控制基线差异后，除了在 3 个月时评估高治疗联盟的参与者报告的主观生活质量和感知社会支持最高外，各组在任何结果上均无差异。支持性住房中的客户结果可能更多地依赖于实际援助和获得其他服务，而不是与他们的主要心理健康提供者的治疗关系的质量。
