title: The helping alliance in case management for homeless persons with severe mental illness.
abstract: This study examined the role of the helping alliance in case management with homeless persons who have a severe mental illness. A strong alliance after two months of treatment was marginally associated with three outcomes: higher consumer satisfaction, less severe global symptom severity, and greater hostility. The only outcome associated with the alliance after fourteen months of treatment was consumer satisfaction. Several variables predicted a strong helping alliance at month two, including: being African American, low hostility, more perceived needs, and more program contacts. The only variable that predicted a strong alliance at month fourteen was a strong alliance at month two.
authors.affiliation: Missouri Institute of Mental Health, University of Missouri School of Medicine, St. Louis, MO, USA.
authors.forename: W D
authors.initials: WD
authors.lastname: Klinkenberg
authors.forename: R J
authors.initials: RJ
authors.lastname: Calsyn
authors.forename: G A
authors.initials: GA
authors.lastname: Morse
mesh_terms: D010054:Brief Psychiatric Rating Scale; D019090:Case Management; D002908:Chronic Disease; D003258:Consumer Behavior; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D008605:Mental Health Services / Q000592:standards*; D011613:Psychotherapy / Q000379:methods; D012720:Severity of Illness Index