School of Psychology, University of Ottawa, Ottawa, ON, K1N 6N5, Canada.
Community Ment Health J. 2022 Jul;58(5):944-954. doi: 10.1007/s10597-021-00903-9. Epub 2021 Oct 20.
The purpose of this study was to examine clients' perceptions of the client-case manager working alliance in the context of receiving the Strengths Model of Case Management. Twenty people with severe mental illness, with a SMCM case manager, participated in semi-structured, qualitative interviews. Using first and second cycle coding, data were analyzed thematically. People in the study attributed personal life changes to their relationship with their case manager. They valued their case managers' flexibility and highlighted their work on a wide range of goals of their choosing. Case managers approached the SMCM intervention responsive to their clients' preferences and choices. The working alliance serves as a key element of the SMCM intervention. Clients describe the working alliance as helping to improve their lives. This study supports the implementation of SMCM with people with severe mental illness due to its focus on fostering a strong working alliance.
本研究旨在探讨在接受优势视角个案管理模式的情况下，服务对象对个案管理员的工作联盟的看法。20 名患有严重精神疾病的人在与他们的个案管理员进行半结构化、定性访谈的过程中参与了研究。研究人员使用了第一和第二轮编码对数据进行了主题分析。研究中的人将个人生活的变化归因于他们与个案管理员的关系。他们重视个案管理员的灵活性，并强调他们在广泛的自选目标上所做的工作。个案管理员根据客户的偏好和选择，对 SMCM 干预措施做出了响应。工作联盟是 SMCM 干预措施的关键要素。客户将工作联盟描述为帮助改善他们的生活。这项研究支持对患有严重精神疾病的人实施 SMCM，因为它注重培养强大的工作联盟。
