Case manager alliance with clients in an older cohort

Draine, Jeffrey; Solomon, Phyllis

doi:10.1007/bf02249750

Cited by 31 publications

(16 citation statements)

References 29 publications

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“…Draine and Solomon (1996) reported that older clients formed a stronger alliance with their case managers than younger clients, but two studies (Calsyn, Morse, & Allen, 1999;Klinkenberg et al, 1998) found no relationship between age and the strength of the alliance. Gender had no impact on the strength of the case manager/client alliance in three previous studies (Calsyn et al, 1999;Klinkenberg et al, 1998Klinkenberg et al, , 2002.…”

Section: Client Characteristicsmentioning

confidence: 95%

Predictors of the Working Alliance in Assertive Community Treatment

Calsyn

Klinkenberg²,

Morse³

et al. 2006

Community Ment Health J

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Past research has found that a positive working alliance between clients and their case managers is modestly correlated with client outcomes. The current study tried to identify the predictors of the working alliance in a sample of 115 clients who were receiving services from Assertive Community Treatment (ACT) teams. All of the clients suffered from severe mental illness, had a substance use disorder and were homeless at baseline. Both the client's rating and the case manager's rating of the working alliance were assessed at 3 months and 15 months post baseline. Client characteristics, particularly motivation to change, explained more of the variance of the client's rating of the alliance than treatment variables or client change on the outcome variables. On the other hand, treatment variables (e.g., the amount of transportation services provided) and client change on the outcome variables explained more of the variance of the case manager's rating of the alliance.

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Section: Client Characteristicsmentioning

confidence: 95%

Predictors of the Working Alliance in Assertive Community Treatment

Calsyn

Klinkenberg²,

Morse³

et al. 2006

Community Ment Health J

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“…While Neale and Rosenheck (1995) did not find correlations between consumer ratings of the alliance and consumer outcomes other than with satisfaction with the service, they did find that case manager ratings of the alliance were linked to consumers' improved global functioning, reduced symptom severity and improved community living skills. Some critics (Chinman et al, 2000) argue that alliance research is limited by the fact that it has gathered only quantitative data through retrospective, cross-sectional designs (see Draine & Solomon, 1996;Frank & Gunderson, 1990;Neale & Rosenheck, 1995;Solomon et al, 1995). These studies largely measured the alliance after consumers had been in case management for approximately 2 years (see Chinman et al, 2000 for an exception).…”

Section: Previous Research On the Working Alliancementioning

confidence: 95%

“…More recently, alliance investigations have extended to a range of community settings and populations, including addictions treatment (Connors, Carroll, DiClemente, Longabaugh, & Donovan, 1997); delinquent adolescents in community treatment (Florsheim, Shotorbani, Guest-Warnick, Barratt, & Hwang, 2000); and, low-income, latency aged children and their parents in family interventions within inner city schools (Toland, Hanish, McKay, & Dickey, 2002). Alliance assessment has also extended to adult intensive case management services (Chinman, Rosenheck, & Lam, 2000;Draine & Solomon, 1996;Klinkenberg, Calsyn, & Morse, 1998;Neale & Rosenheck, 1995;Solomon, Draine, & Delaney, 1995), demonstrating a positive link between the consumer's assessment of the alliance and some consumer outcomes, including treatment participation, subjective quality of life, and more positive attitudes about medication compliance (Alexander & Solomon, 2004;Solomon et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

Neglected Voices: Consumers with Serious Mental Illness Speak About Intensive Case Management

Buck

Alexander

2005

Adm Policy Ment Health

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This study explores early alliance formation between adult consumers with schizophrenic-spectrum disorders and their case managers from the consumers' perspectives using a prospective, cohort design. While quantitative studies have demonstrated positive links between the alliance and some client outcomes, such methods cannot reveal in concrete and authentic ways what consumers want in the case management relationship. This study finds that consumers can provide tangible and insightful information about the specifics of their case management relationships, confirming previous findings about the desire for connection with others, while extending it to include the desire for connection to the social world through the case manager relationship.

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“…Apart from its association with outcome, little is known about how the alliance varies between different psychiatric settings and diagnostic groups and how it is influenced by different mediating and moderating factors (26). Studies have indicated that a positive alliance is associated with less severe problems (5,7,(26)(27)(28), and age (28,29). As in psychotherapy research, there is a weak tendency that patients with borderline and other personality disorders have greater difficulties in establishing a good therapeutic alliance (21,28).…”

Section: Helping Alliance and Client Factors In Psychotherapeutic Andmentioning

confidence: 99%

Helping alliance and early dropout from psychiatric out-patient care

Johansson

Eklund

2006

Soc Psychiat Epidemiol

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This is an author produced version of a paper published in Social Psychiatry Psychiatric Epidemiology. This paper has been peer-reviewed but does not include the final publisher proof-corrections or journal pagination. Abstract:Background: The study examined client factors of relevance for the establishment of the helping alliance and for dropout in a routine psychiatric setting, admitting a variety of diagnoses and staffed with a multi-professional team. Method: Newly-admitted patients (n= 122) and staff completed questionnaires regarding the helping alliance, and the patients also regarding motivation, symptoms and interpersonal problems. The patients were also diagnosed according to the ICD-10 and followed up concerning early dropout. Results: Several variables correlated with the helping alliance and multivariate analyses showed that the cold/distant factor, motivation and the interpersonal sensitivity factor were the most important factors in establishing the helping alliance. Moreover, it was the alliance as perceived by the patients and not the staff that proved to be the most essential variable. A logistic regression analysis showed that early dropout was predicted by low helping alliance, low age and cold/distant. Conclusion:The most important client factors for establishing the helping alliance and for predicting early dropout seem to be those relevant to interpersonal processes. Further, the therapists'/staff's responsiveness to these client factors seems to be of decisive importance.

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Case manager alliance with clients in an older cohort

Cited by 31 publications

References 29 publications

Predictors of the Working Alliance in Assertive Community Treatment

Predictors of the Working Alliance in Assertive Community Treatment

Neglected Voices: Consumers with Serious Mental Illness Speak About Intensive Case Management

Helping alliance and early dropout from psychiatric out-patient care

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