Soutien d’intensité variable (SIV) et rétablissement : que nous apprennent les études expérimentales et quasi expérimentales ?

Abstract

Le traitement dans la communauté Volume 36, numéro 1, printemps 2011 URI : id.erudit.org/iderudit/1005812ar

A Qualitative Study of the Working Alliance in the Strengths Model of Case Management with People with Severe Mental Illness

“…The Strengths Model of Case Management (SMCM) is a type of ICM for people with severe mental illness that is described in detail by its developers, unlike many other case management interventions (Latimer & Rabouin, 2011 ; Ponka et al, 2020 ; Rapp & Goscha, 2012 ). When compared to broader ICM, SMCM is somewhat unique in that it focuses less on deficits and symptoms than other types of ICM, while leveraging strengths to accomplish clients’ goals.…”

“…While the working alliance in psychotherapy (usually referred to as the “therapeutic alliance”) has been thoroughly researched with consistent positive results (Fluckiger et al, 2012 , 2018 ; Horvath, 2018 ; Wampold, 2015 ), the evidence base of the working alliance in mental health case management interventions is small with more variable research methods than psychotherapy research (De Leeuw et al, 2012 ; Kidd et al, 2017 ; McCabe & Priebe, 2004 ). Overall, mental health case management studies show a relationship between the working alliance and client outcomes, such as better functioning, lower depression, overall life satisfaction, and improved quality of life (Ashford et al, 2010 ; De Leeuw et al, 2012 ; Howgego et al, 2003 ; Kidd et al, 2017 ; Kondrat, 2012 ; Kondrat & Early, 2010 ; Latimer & Rabouin, 2011 ; McCabe & Priebe, 2004 ; Sandu et al, 2021 ; Tsai et al, 2013 ). Some proposed underlying mechanisms of change within the working alliance include having clear goals, having small caseloads, affirming a person, mutual respect, adopting structured interventions, and being a responsive case manager (Baldwin et al, 2007 ; De Leeuw et al, 2012 ; Farrelly & Lester, 2014 ; Fluckiger et al, 2018 ; Kidd et al, 2017 ; Wampold, 2015 ).…”

“…The community-based setting of mental health case management makes the practice more task-focused, and involves providing access to services and helping people to remain in the community (McCabe & Priebe, 2004 ). Mental health case management also consists of several different approaches (e.g., Assertive Community Treatment, intensive case management [ICM], standard case management, brokerage model, clinical case management) (Kidd et al, 2017 ; Latimer & Rabouin, 2011 ; McCabe & Priebe, 2004 ). The working alliance is conceptualized differently (or not at all) under each approach.…”

Implementing the Strengths Model of Case Management: Assessing Practice Three Years After Initial Implementation

“…These specific practices and methods assist the practitioner in working from a strengths-based orientation By supporting clients to pursue goals that are meaningful to them, the model aims to build client engagement, improve motivation and self-esteem, and aid in their longer-term recovery (Deane et al, 2019). There is growing evidence pointing to the effectiveness and cost-effectiveness of SMCM (Tse et al, 2016, Latimer & Rabouin, 2011.…”

Évaluation du processus d’implantation de l’approche axée sur les forces, en s’appuyant sur la théorie de la diffusion de l’innovation

“…L'approche axée sur les forces se distingue par l'accent mis sur les ressources in dividuelles et environnementales permettant d'atteindre les buts que la personne s' est elle-même fixés (Rapp et Gosha, 2006). Cette approche implique pour les intervenants un changement de paradigme de manière plus radicale que pour les autres modèles, en laissant peu de place à la question des déficits ( Latimer et Rabouin, 2011). Elle préconise une intervention individuelle fondée sur des outils cliniques, tels que le plan d'identification des forces (PIF) et le plan d'action (PA).…”