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01-08-2013 | Brief Report

Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults

Authors: Jack Tsai, Adrienne Lapidos, Robert A. Rosenheck, Ilan Harpaz-Rotem

Published in: Community Mental Health Journal | Issue 4/2013

Abstract

General psychotherapy research has underscored the importance of the therapeutic alliance in client outcomes. This study examined the association between therapeutic alliance and client outcomes specifically between chronically homeless clients in a supported housing program and their case managers. Using data from a federal supported housing initiative, participants were categorized into those who rated their therapeutic alliance with case managers at 3 months as relatively high (top 75th percentile; n = 123), relatively low (bottom 25th percentile; n = 128), or did not identify any primary mental health provider at 3 months (n = 205). Controlling for baseline differences, there were no group differences on any outcomes, except that participants who rated high therapeutic alliance at 3 months reported the highest subjective quality of life and perceived social support. Client outcomes in supported housing may rely more on practical assistance and access to other services than the quality of the therapeutic relationship with their primary mental health provider.

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Title: Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults
Authors: Jack Tsai
Adrienne Lapidos
Robert A. Rosenheck
Ilan Harpaz-Rotem
Publication date: 01-08-2013
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 4/2013
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-012-9518-x

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