Treatment Network Typologies and the Working Alliance of Clients with Serious Mental Illness
| Autor: | Eric R. Wright, Raeda Anderson, George S. Usmanov |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030505 public health Public Health Environmental and Occupational Health Mental illness medicine.disease 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Alliance medicine 030212 general & internal medicine 0305 other medical science Psychology Psychiatry |
| Zdroj: | Society and Mental Health. 12:17-31 |
| ISSN: | 2156-8731 2156-8693 |
| Popis: | The climate and culture of treatment for clients with serious mental illness (SMI) are complex. In this study, we aim to cultivate a deeper understanding of the treatment environment using a network typological approach to measure the local treatment context and assess its implications on the perceived quality of clients’ relationships with their care providers. We use in-depth egocentric network data from clients with SMI in community mental health centers and state psychiatric hospitals from the Indiana Mental Health Services and HIV Risk Study ( N = 417). Clustering analysis identifies five unique and distinct network types: supportive, sparse, diverse, clinical, and treatment-focused. Weighted least squares regressions reveal clients in networks with high amounts of support predict a more trusting working alliance, whereas care-oriented networks predict a less trusting alliance. Our findings underscore the need to consider the local network context in studies of the quality of care provided to people with SMI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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