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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 12/2010

01-12-2010 | Original Paper

Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services

Authors: Jocelyn Catty, Marsha Koletsi, Sarah White, Thomas Becker, Angelo Fioritti, Rana Kalkan, Christoph Lauber, Pascale Lissouba, Wulf Rössler, Toma Tomov, Jooske T. van Busschbach, Durk Wiersma, Tom Burns

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 12/2010

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Abstract

Objective

To determine the distinctions between the client–keyworker relationship and the client–vocational worker relationship by assessing their impact on clinical outcomes and exploring the associations between the two.

Methods

As part of an international randomised controlled trial of supported employment (n = 312), client–keyworker relationship and client–vocational worker relationship were each tested against clinical and social functioning 6 months later. Associations between the two relationships over time were explored.

Results

Client–keyworker relationship predicted quality of life, while client–vocational worker relationship, as rated by the client, did not predict any clinical or social functioning outcomes. Vocational worker-rated relationship predicted reduced depression. The client–keyworker and client–vocational worker relationships were correlated, but this did not change over time.

Conclusion

The impact of the client–vocational worker is likely to be on the shared task of finding employment, rather than on clinical and social functioning. Good client–vocational worker relationships do not detract from client–keyworker relationships.
Appendix
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Metadata
Title
Therapeutic relationships: their specificity in predicting outcomes for people with psychosis using clinical and vocational services
Authors
Jocelyn Catty
Marsha Koletsi
Sarah White
Thomas Becker
Angelo Fioritti
Rana Kalkan
Christoph Lauber
Pascale Lissouba
Wulf Rössler
Toma Tomov
Jooske T. van Busschbach
Durk Wiersma
Tom Burns
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 12/2010
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0163-9

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