학술논문

Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services.
Document Type
Article
Source
Social Psychiatry & Psychiatric Epidemiology. Dec2010, Vol. 45 Issue 12, p1187-1193. 7p.
Subject
*PSYCHOSES
*RANDOMIZED controlled trials
*EMPLOYMENT
*QUALITY of life
*MENTAL depression
Language
ISSN
0933-7954
Abstract
Objective: To determine the distinctions between the client-keyworker relationship and the client-vocational worker relationship by assessing their impact on clinical outcomes and exploring the associations between the two. Methods: As part of an international randomised controlled trial of supported employment ( n = 312), client-keyworker relationship and client-vocational worker relationship were each tested against clinical and social functioning 6 months later. Associations between the two relationships over time were explored. Results: Client-keyworker relationship predicted quality of life, while client-vocational worker relationship, as rated by the client, did not predict any clinical or social functioning outcomes. Vocational worker-rated relationship predicted reduced depression. The client-keyworker and client-vocational worker relationships were correlated, but this did not change over time. Conclusion: The impact of the client-vocational worker is likely to be on the shared task of finding employment, rather than on clinical and social functioning. Good client-vocational worker relationships do not detract from client-keyworker relationships. [ABSTRACT FROM AUTHOR]