Assessing relationship quality in mandated community treatment: blending care with control.

@article{Skeem2007AssessingRQ,
  title={Assessing relationship quality in mandated community treatment: blending care with control.},
  author={Jennifer L Skeem and Jennifer Eno Louden and Devon L. L. Polaschek and Jacqueline Camp},
  journal={Psychological assessment},
  year={2007},
  volume={19 4},
  pages={
          397-410
        }
}
Traditional measures of the therapeutic alliance do not capture the dual roles inherent in relationships with involuntary clients. Providers not only care for, but also have control over, involuntary clients. In 2 studies of probationers mandated to psychiatric treatment (n=90; n=322), the authors developed and validated the revised Dual-Role Relationships Inventory (DRI-R). The authors found that (a) relationship quality in mandated treatment involves caring and fairness, trust, and an… 

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References

SHOWING 1-10 OF 81 REFERENCES

Therapeutic limit setting in an assertive community treatment program.

Case managers were more likely to set limits with clients who had more extensive hospitalization histories, a representative payee, recent alcohol or drug use, more arrests, and more severe symptoms.

Alliance structure assessed by the Agnew Relationship Measure (ARM).

Bond, partnership, and confidence overlapped statistically, but there are conceptual and empirical reasons for retaining the distinctions, and five scales were constructed for use in future studies.

Patients' view of the alliance of psychotherapy: exploratory factor analysis of three alliance measures.

Patients view the core of the alliance as a purposive mutual collaboration, or working alliance; patients who acknowledge some hostility do better in therapy and the collaborative working alliance should be given prominence in alliance theory and measurement.

Perspectives on probation and mandated mental health treatment in specialized and traditional probation departments.

There were considerable differences between POs in specialty and traditional agencies in the nature, range, and timing of strategies applied to monitor and enforce treatment compliance and the quality of PO-probationer relationships colored POs' use of these strategies and was perceived as central to probationer outcomes.

Practitioner relationships and quality of care for low-income persons with serious mental illness.

The opportunity to counter feelings of vulnerability and alienation with a sense of connection that is based on shared humanness may be a high priority for services for this group of low-income persons with psychiatric disabilities.

The Therapeutic Relationship in the Treatment of Severe Mental Illness: A Review of Methods and Findings

  • R. McCabeS. Priebe
  • Psychology, Medicine
    The International journal of social psychiatry
  • 2004
The therapeutic relationship is a reliable predictor of patient outcome in mainstream psychiatric care and may need to take account of different, specific aspects of the relationship in psychiatric settings such as greater heterogeneity of treatment components and goals.

The Therapeutic Alliance: The Key to Effective Patient Outcome? A Descriptive Review of the Evidence in Community Mental Health Case Management

The level of evidence supporting the link between the therapeutic alliance of patients with mental illness and improved outcomes although sparse is encouraging, and the potential of the alliance as a predictor of outcome for patients engaged in case management services in community mental health is indicated.

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

  • B. AngellC. Mahoney
  • Psychology, Business
    Administration and Policy in Mental Health and Mental Health Services Research
  • 2006
A study of client–provider relationships as perceived by case managers, based on a qualitative study of two intensive case management teams, delineate positive and negative experiential elements that may be used to improve measurement of the case management relationship in future research.

The Influence of Parenting Style on Adolescent Competence and Substance Use

An overview of the Family Socialization and Developmental Competence longitudinal program of research (FSP) is followed by a presentation of the hypotheses and findings pertaining to family patterns

A collaborative community-based treatment program for offenders with mental illness.

OBJECTIVE The paper describes initial results of collaboration between a mental health treatment program at a community mental health center in Baltimore and a probation officer of the U.S. federal
...