Process and outcome in a hostel outreach program for homeless clients with severe mental illness.

Goering, Paula; Wasylenki, Donald; Lindsay, Sheryl; Lemire, David; Rhodes, Anne E.

doi:10.1037/h0080258

Cited by 43 publications

(48 citation statements)

References 31 publications

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“…In 6 studies, a total of 10 associations between the TR and symptom levels as outcomes of subsequent treatment were reported [14,17,19,21,22]. With respect to the symptom scales used in the studies, we distinguished between observer-rated [14,17,19] and patient-rated measures [19,21,22].…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 2 associations were from the same 2 studies and non-significant. In 1 study [17] a non-significant association was reported in a model that also included baseline symptom scores and weeks in permanent residence as predictors. Five associations were reported between the TR and patient-rated symptoms.…”

Section: Resultsmentioning

confidence: 99%

“…With respect to the symptom scales used in the studies, we distinguished between observer-rated [14,17,19] and patient-rated measures [19,21,22]. …”

Section: Resultsmentioning

confidence: 99%

“…The substantial exclusions at this stage were due to a large number of studies that had assessed the TR, but not studied it as a predictor of subsequent outcome. Finally, 9 [14,15,16,17,18,19,20,21,22] of the 33 relevant papers were found to meet all inclusion criteria and were included in the review. The search process is summarised in figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…The included studies either (i) measured the TR at baseline and predicted the symptoms/functioning at a later point in time and/or the readmissions or days of hospitalisation between baseline and follow-up assessments [15,18,22], or (ii) tested the TR as a predictor of change in symptoms/functioning after having controlled for (a) the same measure at baseline [14,17,18,21] and/or (b) a combination of constructs in a multivariate analysis [17,18], or (iii) tested the correlation of the TR with computed change scores of symptoms/functioning [16,19,20]. Three different types of effect size estimates were reported: correlations (r), standardised betas (β) and F values (F).…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Does the Therapeutic Relationship Predict Outcomes of Psychiatric Treatment in Patients with Psychosis? A Systematic Review

Priebe¹,

Richardson²,

Cooney³

et al. 2010

Psychother Psychosom

125

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Background: Numerous studies have shown that the quality of the therapeutic relationship (TR) between the patient and the clinician is an important predictor of the outcome of different forms of psychotherapy. It is less clear whether the TR also predicts outcomes of psychiatric treatment programmes in patients with psychosis (i.e. outside conventional psychotherapy). Methods: We conducted a systematic review and identified 9 primary studies that prospectively tested the association of the TR with 3 outcomes, i.e. hospitalisation, symptom levels and functioning. Because of the heterogeneity of the methods used, a meta-analysis was not feasible. A vote counting method was used to determine the number of statistically significant effects in the hypothesised direction (i.e. that a more positive TR predicts more favourable outcomes). Results: For each outcome, a χ² analysis showed that the number of statistically significant findings in the hypothesised direction was greater than expected if the null hypothesis of no association were true. However, studies had methodological shortcomings, and the effect sizes of positive associations were rather small. Conclusion: It may be concluded that there is some, but not overwhelming, evidence that the TR predicts outcomes of complex psychiatric treatment programmes in patients with psychosis, and that methodologically more rigorous research is required. Such research should measure the TR at initial stages of treatment and use validated assessment instruments for both TR and outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…With respect to the symptom scales used in the studies, we distinguished between observer-rated [14,17,19] and patient-rated measures [19,21,22]. …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Does the Therapeutic Relationship Predict Outcomes of Psychiatric Treatment in Patients with Psychosis? A Systematic Review

Priebe¹,

Richardson²,

Cooney³

et al. 2010

Psychother Psychosom

125

View full text Add to dashboard Cite

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Homeless people's recovery in Housing First and Traditional Services: The role of working alliance in Italian housing services

Curiale

Lenzi

Gaboardi

et al. 2023

Journal Community Psychology

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This study aims to investigate whether a working alliance could represent a potential mechanism that explains the effectiveness of housing services in terms of user recovery, comparing the Housing First (HF) model with Traditional Services (TS). This study included 59 homeless service users in Italy (29 = HF; 30 = TS). Recovery was assessed upon entering the study (T0) and after 10 months (T1). Results indicate that participants inserted in HF services were more likely to report stronger working alliances with social service providers at T0 that, in turn, was directly associated with higher levels of users' recovery at the beginning of the study and indirectly (through recovery at T0) with recovery at T1. Implications of the results are discussed with respect to research and practice on homeless services.

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Predictors of Outreach Meetings Among Substance Using Homeless Youth

Carmona

Slesnick

Guo

et al. 2015

Community Ment Health J

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Homeless youth have high rates of substance use and often lack connection to social services. Outreach is critical for connecting youth to services, but factors influencing their outreach engagement are unknown. This study examined predictors of meetings with outreach workers among 79 non-service connected, substance using homeless youth between 14 and 24 years of age. Results provide direction to service providers in that older age, higher levels of depressive symptoms, fewer drug-related problems, and no use of hard drugs within the prior 30 days predicted higher meeting attendance. Future research is needed testing strategies that overcome barriers to outreach engagement.

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Process and outcome in a hostel outreach program for homeless clients with severe mental illness.

Cited by 43 publications

References 31 publications

Does the Therapeutic Relationship Predict Outcomes of Psychiatric Treatment in Patients with Psychosis? A Systematic Review

Does the Therapeutic Relationship Predict Outcomes of Psychiatric Treatment in Patients with Psychosis? A Systematic Review

Homeless people's recovery in Housing First and Traditional Services: The role of working alliance in Italian housing services

Predictors of Outreach Meetings Among Substance Using Homeless Youth

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