Neale M S, Rosenheck R A
Northeast Program Evaluation Center, Veterans Affairs Medical Center, West Haven, CT 06516, USA.
Psychiatr Serv. 1995 Jul;46(7):719-21. doi: 10.1176/ps.46.7.719.
A total of 143 clients and their case managers in a Veterans Affairs (VA) intensive case management program modeled on the Program for Assertive Community Treatment rated their therapeutic alliance after two years in the program. Strong case-manager-rated alliance was associated with reduced symptom severity and improved global functioning as rated by independent assessors; it was also associated with higher client ratings of community living skills and more positive outcome as perceived by both clients and case managers. Strong client-rated alliance was associated only with more positive client-perceived outcome. Alliance ratings were not associated with use of inpatient psychiatric hospitalization. The case manager-client alliance appears to be a significant component of therapeutic effectiveness.
在一项仿照积极社区治疗项目的退伍军人事务部（VA）强化个案管理项目中，共有143名客户及其个案经理在参与该项目两年后对他们的治疗联盟进行了评分。个案经理评定的强大联盟与独立评估者评定的症状严重程度降低和整体功能改善相关；它还与客户对社区生活技能的更高评分以及客户和个案经理所感知的更积极结果相关。客户评定的强大联盟仅与客户感知的更积极结果相关。联盟评分与住院精神科治疗的使用无关。个案经理 - 客户联盟似乎是治疗效果的一个重要组成部分。
