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

Abstract

The helping relationship or alliance is theorized to be an important process variable in case management services for people with serious mental illness. Previous studies of the case management relationship borrow concepts and measures from psychotherapy research and therefore may overlook important differences in tasks, settings, and clinical roles across settings. A study of client-provider relationships as perceived by case managers, based on a qualitative study of two intensive case management (ICM) teams, is presented. The findings, which delineate positive and negative experiential elements, may be used to improve measurement of the case management relationship in future research.

Youth Homelessness: The Impact of Supportive Relationships on Recovery

“…Service providers are often the first points of access into the system for these youth and assist them in navigating through and accessing the supports and interventions they need. A supportive relationship with service providers have been deemed a necessary building block on the road to recovery (Angell & Mahoney, 2007;Deegan, 2001;Farkas & Anthony, 2010;Moran, Zisman-Ilani, Garber-Epstein, & Roe, 2014;Slade, 2009). Therefore, such studies may examine the impact of therapeutic relationships or positive working alliances between service providers and homeless youth.…”

Exploring the Experiences of Client Involvement in Medication Decisions Using a Shared Decision Making Model: Results of a Qualitative Study

“…Like other clinical research from psychotherapy (Beutler et al 2003;Hubble et al 1999) to case management (Angell and Mahoney 2007;Howgego et al 2003), the quality of the relationship between the consumer and the provider seems to be an important factor. Clients who perceived their relationship with their prescriber to be positive tended to be more engaged in the shared decisionmaking process.…”

Discharge Practices in a Time-Unlimited Intervention: The Perspectives of Practitioners in Assertive Community Treatment

“…Practitioners reported that unlimited time permits them the flexibility to develop a working relationship with their clients and research has suggested the importance of a strong client-worker relationship for promoting mental health recovery (Angell and Mahoney 2007;Green et al 2008;Stanhope et al 2009b). Moreover, recovery is process-oriented (Deegan 1988).…”