Skip to main content
Top
Published in: Community Mental Health Journal 7/2018

01-10-2018 | Original Paper

Person-Centered Care and the Therapeutic Alliance

Authors: Emily K. Hamovitch, Mimi Choy-Brown, Victoria Stanhope

Published in: Community Mental Health Journal | Issue 7/2018

Login to get access

Abstract

Person-centered care has been gaining prominence in behavioral health care, and service planning has shifted towards “person-centered care planning” (PCCP), where individuals, in partnership with providers, identify life goals and interventions. A strong therapeutic alliance has been identified as key to a person-centered approach, but little is known about how the therapeutic relationship influences person-centered processes and outcomes. Using an explanatory sequential mixed methods design, this study investigated: (1) the association between the therapeutic alliance and PCCP, and (2) how the therapeutic relationship influences the process and outcomes of PCCP. Quantitative analyses found that a strong working alliance predicted greater personcenteredness. Qualitative analyses revealed two central themes: (1) the importance of connection, continuity, and calibration of the relationship to set the right conditions for PCCP, and (2) PCCP as a vehicle for engagement. Findings demonstrated that the therapeutic alliance is inextricably linked to the PCCP process, each influencing the other.
Literature
go back to reference Adams, N., & Grieder, D. (2014). Treatment planning for person-centered care: Shared decision making for whole health. Waltham, MA: Elsevier, Inc. Adams, N., & Grieder, D. (2014). Treatment planning for person-centered care: Shared decision making for whole health. Waltham, MA: Elsevier, Inc.
go back to reference Borg, M., Karlsson, B., Tondora, J., & Davidson, L. (2009). Implementing person-centered care in psychiatric rehabilitation: What does this involve? Israel Journal of Psychiatry and Related Sciences, 46(2), 84–93.PubMed Borg, M., Karlsson, B., Tondora, J., & Davidson, L. (2009). Implementing person-centered care in psychiatric rehabilitation: What does this involve? Israel Journal of Psychiatry and Related Sciences, 46(2), 84–93.PubMed
go back to reference Browne, G., Hemsley, M., & St. John, W. (2008). Consumer perspectives on recovery: A focus on housing following discharge from hospital. International Journal of Mental Health Nursing, 17(6), 402–409.CrossRefPubMed Browne, G., Hemsley, M., & St. John, W. (2008). Consumer perspectives on recovery: A focus on housing following discharge from hospital. International Journal of Mental Health Nursing, 17(6), 402–409.CrossRefPubMed
go back to reference Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Thousand Oaks, CA: Sage. Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Thousand Oaks, CA: Sage.
go back to reference Choy-Brown, M., Hamovitch, E. K., Cuervo, C., & Stanhope, V. (2016). I have my own lease- so why the service plan again? Perspectives on service planning in supportive housing. Psychiatric Rehabilitation Journal, 39(4), 313–320.CrossRefPubMed Choy-Brown, M., Hamovitch, E. K., Cuervo, C., & Stanhope, V. (2016). I have my own lease- so why the service plan again? Perspectives on service planning in supportive housing. Psychiatric Rehabilitation Journal, 39(4), 313–320.CrossRefPubMed
go back to reference Creswell, J. W., Plano Clark, V. L., Gutmann, M. L., & Hanson, W. E. (2003). Advanced mixed methods research design. In A. Tashakkori & C. Teddlie (Eds.), The handbook of mixed methods in social and behavioral research (pp. 208–240). Thousand Oaks, CA: Sage Publications. Creswell, J. W., Plano Clark, V. L., Gutmann, M. L., & Hanson, W. E. (2003). Advanced mixed methods research design. In A. Tashakkori & C. Teddlie (Eds.), The handbook of mixed methods in social and behavioral research (pp. 208–240). Thousand Oaks, CA: Sage Publications.
go back to reference Drisko, J. W. (2004). Common factors in psychotherapy outcome: Meta-analytic findings and their implications for practice and research. Families in Society: The Journal of Contemporary Social Services, 85, 81–90.CrossRef Drisko, J. W. (2004). Common factors in psychotherapy outcome: Meta-analytic findings and their implications for practice and research. Families in Society: The Journal of Contemporary Social Services, 85, 81–90.CrossRef
go back to reference Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61, 561–573.CrossRefPubMed Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61, 561–573.CrossRefPubMed
go back to reference Institute of Medicine, IOM. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press: Institute of Medicine. Institute of Medicine, IOM. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press: Institute of Medicine.
go back to reference Kidd, S. A., Davidson, L., & McKenzie, K. (2017). Common factors in community mental health intervention: A scoping review. Community Mental Health Journal, 53, 1–11.CrossRef Kidd, S. A., Davidson, L., & McKenzie, K. (2017). Common factors in community mental health intervention: A scoping review. Community Mental Health Journal, 53, 1–11.CrossRef
go back to reference Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: An integrative review. Journal of Multidisciplinary Healthcare, 9, 537–546.CrossRefPubMedPubMedCentral Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: An integrative review. Journal of Multidisciplinary Healthcare, 9, 537–546.CrossRefPubMedPubMedCentral
go back to reference Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook. Thousand Oaks, CA: Sage. Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook. Thousand Oaks, CA: Sage.
go back to reference Padgett, D. K. (2008). Qualitative methods in social work research. Thousand Oaks, CA: Sage Publisher. Padgett, D. K. (2008). Qualitative methods in social work research. Thousand Oaks, CA: Sage Publisher.
go back to reference Shern, D. L., Wilson, N. Z., Saranga Coen, A., Patrick, D. C., Foster, M., Bartsch, D. A., & Demmler, J. (1994). Client outcomes II: Longitudinal client data from the Colorado Treatment Outcome Study. The Milbank Quarterly, 72, 123–148.CrossRefPubMed Shern, D. L., Wilson, N. Z., Saranga Coen, A., Patrick, D. C., Foster, M., Bartsch, D. A., & Demmler, J. (1994). Client outcomes II: Longitudinal client data from the Colorado Treatment Outcome Study. The Milbank Quarterly, 72, 123–148.CrossRefPubMed
go back to reference Stanhope, V. (2012). The ties that bind: Using ethnographic methods to understand service engagement. Qualitative Social Work, 11(4), 412–430.CrossRef Stanhope, V. (2012). The ties that bind: Using ethnographic methods to understand service engagement. Qualitative Social Work, 11(4), 412–430.CrossRef
go back to reference The President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Department of Health and Human Services. The President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Department of Health and Human Services.
go back to reference Tondora, J., Miller, R., & Davidson, L. (2012). The top ten concerns about person-centered care planning in mental health systems. International Journal of Person Centered Medicine, 2, 410–420. Tondora, J., Miller, R., & Davidson, L. (2012). The top ten concerns about person-centered care planning in mental health systems. International Journal of Person Centered Medicine, 2, 410–420.
go back to reference Tondora, J., Miller, R., Slade, M., & Davidson, L. (2014). Partnering for recovery in mental health: A practical guide to person-centered planning. West Sussex: Oxford Wiley Blackwell. Tondora, J., Miller, R., Slade, M., & Davidson, L. (2014). Partnering for recovery in mental health: A practical guide to person-centered planning. West Sussex: Oxford Wiley Blackwell.
go back to reference Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment, 1, 207–210.CrossRef Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment, 1, 207–210.CrossRef
go back to reference Tsemberis, S., Gulcur, L., & Nakae, M. (2004). Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94, 651–656.CrossRefPubMedPubMedCentral Tsemberis, S., Gulcur, L., & Nakae, M. (2004). Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94, 651–656.CrossRefPubMedPubMedCentral
go back to reference World Health Organization. (2015). WHO global strategy on integrated people-centred health services 2016–2026: Executive summary. World Health Organization. (2015). WHO global strategy on integrated people-centred health services 2016–2026: Executive summary.
Metadata
Title
Person-Centered Care and the Therapeutic Alliance
Authors
Emily K. Hamovitch
Mimi Choy-Brown
Victoria Stanhope
Publication date
01-10-2018
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 7/2018
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-018-0295-z

Other articles of this Issue 7/2018

Community Mental Health Journal 7/2018 Go to the issue