Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services

Catty, Jocelyn; Koletsi, Marsha; White, Sarah; Becker, Thomas; Fioritti, Angelo; Kalkan, Rana; Lauber, Christoph; Lissouba, Pascale; Rössler, Wulf; Томов, Тома; Busschbach, Jooske T. van; Wiersma, Durk; Burns, Tom

doi:10.1007/s00127-009-0163-9

Cited by 16 publications

(9 citation statements)

References 31 publications

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“…The HAS scores in this study correspond to a study of community patients [18] which recorded; feeling respected and regarded (66.2 sd 24.7), beliefs about receiving the right treatment (79.5 sd 22.9), and feeling understood by clinical staff (73.5 sd 27.4). Another assessment of users in community services [32] also noted higher HAS scores with the overall average HAS score ranging from 75.09 to 77.27 over a six month period. The indication is the recorded therapeutic relationship scores in this cohort were not as high as those noted by community mental health service users in previous studies.…”

Section: Discussionmentioning

confidence: 99%

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

et al. 2014

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BackgroundThis small-scale study examines an often neglected patient group (service users in forensic mental health settings). The research investigates their therapeutic relationship with staff and which therapeutic relationship factors are associated with their level of satisfaction with services.MethodsA cross sectional survey was undertaken in two medium secure units in the UK with seventy seven participants completing self-report measures examining service user satisfaction with services and their therapeutic relationship with staff. Multiple regression analysis was used to identify the main predictor variables associated with satisfaction with the service provided.ResultsThe respondents had a generally positive view of services and also of their therapeutic relationships with staff. However, the therapeutic relationship scores were lower than those recorded in community samples. One predictor variable was significantly associated with service user satisfaction; feeling respected and well regarded.ConclusionsThe therapeutic relationship domain of being respected and well regarded by staff was identified as the most significant factor among the therapeutic relationship domains when examining the association with satisfaction with services. The important role mental health clinicians play in enabling service users to recognize they are being treated respectfully is noted as service users judge the degree of honesty, caring and interest that staff show in them. Staff also need to be available and accessible while having good listening and information giving skills. The importance of having both positive therapeutic relationships and service user satisfaction in forensic settings is also discussed.

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Section: Discussionmentioning

confidence: 99%

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

et al. 2014

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“…Some tentative support for the concept of the therapeutic relationship in general mental health services being focused on a particular shared ‘task’ is provided by a recent study of vocational services for people with psychosis. This found that early therapeutic relationships between service users and their vocational workers were predictive of vocational outcomes (such as finding employment) but not of clinical and social functioning outcomes, while relationships with clinical keyworkers were not predictive of vocational outcomes but did predict improved quality of life (Catty et al , 2008, 2009). Evidence concerning any impact of psychiatric service users’ own attributes on alliance ratings has been limited, but greater psychopathology has been found to be associated with a poorer therapeutic relationship for both people with schizophrenia and those with alcohol addiction (McCabe & Priebe, 2003).…”

Section: Introductionmentioning

confidence: 99%

Attachment to the clinical team and its association with therapeutic relationships, social networks, and clinical well‐being

et al. 2011

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There is no evidence that therapeutic relationships are associated with the service user's 'affability' or predisposition to form relationships, suggesting that measures of therapeutic relationship and service attachment do measure something distinct about service users' experience of their care. Team attachment and therapeutic relationship measures seem likely to be measuring very similar constructs. It is possible that service users with more preoccupied attachment styles may find it particularly difficult to form positive attachments to services undergoing frequent change.

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“…Engaging people with the most serious disorders in a trusting relationship (McCabe et al 2012;Dixon et al 2016) is essential. Coercion can undermine success: a perceived loss of autonomy may create a more negative dynamic between client and clinician (Theodoridou et al 2012), while a good relationship improves quality of life and functional outcomes (Catty et al 2010(Catty et al , 2011. In psychiatric rehabilitation, the working relationship often encompasses an entire team or several members of a team and the client's family or other social network members.…”

Section: Engagement and Relationshipmentioning

confidence: 99%

Psychiatric rehabilitation in Europe

Rössler

Drake

2017

Epidemiol Psychiatr Sci

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To describe the core elements of modern psychiatric rehabilitation. Based on selected examples we describe the discussion about values in mental health care with focus on Europe. We present outcome data from studies, which have tried to implement care structures based on this value discussion. In the second half of the 20th century, mental health care in all European and other high-income countries changed conceptually and structurally. Deinstitutionalisation reduced the number of psychiatric beds and transferred priority to outpatient care and community-based services, but community mental health programs developed differently across and within these countries. High-income countries in Europe continued to invest in costly traditional services that were neither evidence-based nor person-centered by emphasising inpatient services, sheltered group homes and sheltered workshops. We argue that evidence-based, person-centred, recovery-oriented psychiatric rehabilitation offers a parsimonious solution to developing a consensus plan for community-based care in Europe. The challenges to scaling up effective psychiatric rehabilitation services in high-income countries are not primarily a lack of resources, but rather a lack of political will and inefficient use and dysfunctional allocation of resources.

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Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services

Cited by 16 publications

References 31 publications

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

A cross sectional survey examining the association between therapeutic relationships and service user satisfaction in forensic mental health settings

Attachment to the clinical team and its association with therapeutic relationships, social networks, and clinical well‐being

Psychiatric rehabilitation in Europe

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