2014
DOI: 10.1371/journal.pone.0100153
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The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study

Abstract: BackgroundPoor service user experiences are often reported on mental health inpatient wards. Crisis houses are an alternative, but evidence is limited. This paper investigates therapeutic alliances in acute wards and crisis houses, exploring how far stronger therapeutic alliance may underlie greater client satisfaction in crisis houses.Methods and FindingsMixed methods were used. In the quantitative component, 108 crisis house and 247 acute ward service users responded to measures of satisfaction, therapeutic … Show more

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Cited by 69 publications
(65 citation statements)
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References 36 publications
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“…The qualitative papers generally scored well for reporting the analysis used, but there was little or no acknowledgement of the impact of the researcher on the research process. The four mixed methods papers scored 0% (Lovell, 1995), 25% (Sweeney et al, 2014), 50% (Greenwood et al, 1999) and 75% (Ricketts, 1996) respectively.…”
Section: Quality Assessmentmentioning
confidence: 99%
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“…The qualitative papers generally scored well for reporting the analysis used, but there was little or no acknowledgement of the impact of the researcher on the research process. The four mixed methods papers scored 0% (Lovell, 1995), 25% (Sweeney et al, 2014), 50% (Greenwood et al, 1999) and 75% (Ricketts, 1996) respectively.…”
Section: Quality Assessmentmentioning
confidence: 99%
“…Five studies (Greenwood et al, 1999;Kohler et al, 2015;Ricketts, 1996;Smith et al, 2014;Sweeney et al, 2014) reported a mean score of the Client Satisfaction Questionnaire (CSQ-8/ZUF-8), with scores ranging from 21 to 26.8 (mean score 23.53). The CSQ-8 consists of a range of potential scores from 8 to 32, with higher scores indicating greater satisfaction.…”
Section: General Satisfactionmentioning
confidence: 99%
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“…There was acknowledgement that, while retaining moral and ethical responsibility, peer workers in peer-led organisations were not bound by the same legal duty of care as a statutory service provider and as such were able to work more flexibly, enabling service users to own their own risks as part of a therapeutic process (Morgan 2000). It has been suggested that encouraging a personal sense of autonomy in this way is not only of therapeutic value in its own right but supports a virtuous circle of improved relationships between staff and service users (Sweeney et al 2014).…”
Section: Risk Management Risk Adversity and Responsibilitymentioning
confidence: 99%
“…In the context of mental health care, dissatisfaction with care received has been found to be associated with adverse outcomes: lack of service uptake, poor therapeutic alliance, discontinuation of care, a higher number of unmet needs and lower quality of life [711]. However, consistently high levels of satisfaction reported in studies have prompted researchers to warn that caution needs to be exercised in the interpretation of results [12].…”
Section: Introductionmentioning
confidence: 99%