Connection and autonomy in the case management relationship.

Abstract

This study examines the effects of connection and autonomy in the clientcase manager relationship on treatment participation, satisfaction with case management, and satisfaction with social life. Three-month case manager ratings of connection were positively correlated with 9-month treatment participation. Six-month client and case manager ratings of connection were positively correlated with improvements in all three outcomes at nine months. Within this time frame, autonomy was positively correlated with treatment participation and satisfaction with case management and negatively correlated with satisfaction with social life. These findings suggest that balancing connection and autonomy in different ways is important in the case management relationship.

Reconceptualizing the Case Management Relationship in Intensive Treatment: A Study of Staff Perceptions and Experiences

“…Unlike psychotherapists, case managers may perceive that the mental health system assigns them full responsibility for the safety and wellbeing of their clients, which translates into pressure to ensure that clients follow treatment recommendations Scheid, 2004). This suggests that the case management relationship may contain dimensions of struggle, in addition to positive aspects (Coffey, 2003). A similar observation has been made regarding the concept of alliance in drug treatment and in probation and parole-contexts which, like case management, carry inherent potential for tension and conflict (Meier, Barrowclough, & Donmall, 2005;Skeem & Eno Louden, 2006).…”

“…Several researchers (Calsyn, Morse, Klinkenberg, & Trusty, 2002;Coffey, 2003;McCabe & Priebe, 2004) have raised concerns about the use of the working alliance concept to examine the client-provider relationship in case management services for people with serious mental illness. Taking a similar position, we argue that the working alliance concept may fail to capture some of the critical aspects of the clientprovider relationship in a case management process because it takes insufficient account of several important differences between psychotherapy and case management.…”

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

“…Data from 67 consumers and their case managers from 19 suburban and semi-rural base service agencies in Eastern Pennsylvania were gathered, using an exploratory, one-group, repeated measures design (Coffey, 2003). Those consumers who met the inclusion criteria (over age 18, a diagnosis of schizophrenia or schizo-affective disorder, and no reported violence in the previous 6 months) were recruited into a consecutive sample, gathered between 1993-97.…”

Payeeship, Financial Leverage, and the Client-Provider Relationship

“…To assess the effects of financial pressures on the treatment alliance, we used a recently developed measure of the client-provider relationship tailored specifically to the context of intensive service delivery to people with serious mental illness (20), which takes into account unique features of the case management relationship, including the potential for disagreement, conflict, and struggle (21)(22)(23)(24), which may be particularly salient in the context of clinician payeeship. First, does having a clinician as a payee affect the case management relationship negatively?…”