Easter Alison, Pollock Michele, Pope Leah Gogel, Wisdom Jennifer P, Smith Thomas E
College of Physicians & Surgeons, Columbia University, New York, USA.
Department of Child and Adolescent Psychiatry, New York University, New York, USA.
J Behav Health Serv Res. 2016 Jul;43(3):341-53. doi: 10.1007/s11414-015-9492-5.
This study explores the nature of clinical therapeutic relationships between mental health treatment providers and high-need clients with serious mental illness who had recently discontinued treatment. Semi-structured qualitative interviews of 56 clients with serious mental illness who had recently discontinued care and 25 mental health treatment providers were completed. Both clients with serious mental illness and treatment providers emphasized the importance of client-focused goal setting, time and availability of treatment providers, a caring approach, and trust and honesty in the relationship. However, clients with serious mental illness placed greater emphasis on goals involving tangible services, a notable area of discord between the two groups. Individuals with serious mental illness and treatment providers agreed regarding several key elements to a positive clinical relationship. Further attention to client goals related to tangible services may serve to improve relationships between treatment providers and high-need clients with serious mental illness.
本研究探讨了心理健康治疗提供者与近期停止治疗的患有严重精神疾病的高需求客户之间临床治疗关系的本质。对56名近期停止治疗的患有严重精神疾病的客户和25名心理健康治疗提供者进行了半结构化定性访谈。患有严重精神疾病的客户和治疗提供者都强调了以客户为中心的目标设定、治疗提供者的时间和可及性、关怀方式以及关系中的信任和诚实的重要性。然而，患有严重精神疾病的客户更加强调涉及具体服务的目标，这是两组之间明显的分歧领域。患有严重精神疾病的个人和治疗提供者在积极临床关系的几个关键要素上达成了一致。进一步关注与具体服务相关的客户目标可能有助于改善治疗提供者与患有严重精神疾病的高需求客户之间的关系。
