title: Investigating the anatomy of the helping relationship in the context of psychiatric rehabilitation: the relation between working alliance, providers' recovery competencies and personal recovery.
abstract: Professional helping relationships established with mental health consumers are vital in mental health recovery processes. However, little is known about how the constructs of alliance building and providers' recovery promoting strategies relate to each other and play a role in supporting recovery. To this end, we examined associations between consumer-reported working alliance, perceived providers' recovery competencies, and personal recovery. In a cross-sectional study design, 72 mental health consumers who established relationships with providers through a psycho-educational intervention over a period of 10 months in hourly weekly sessions were examined as part of a larger study conducted in mental health community settings in Israel. Participants filled in the Working Alliance Inventory (Tracey and Kokotovic, 1989), the Recovery Promoting Relationships Scale (Russinova et al., 2013), and Recovery Assessment Scale (Corrigan et al., 2004). Pearson correlations and linear regression analysis showed positive correlations between relational variables and recovery. A mediating model was identified whereby providers' recovery strategies positively impact the working alliance, which, in turn, positively impact consumers' recovery. Implications of the current study for future research and clinical practice are discussed, emphasizing the importance of examining recovery strategies and the working alliance with regard to the process of mental health recovery.
authors.affiliation: Department of Community Mental Health, University of Haifa, Israel; The Spitzer Department of Social Work Ben-Gurion University of the Negev, Beer Sheva, Israel. Electronic address: galia.moran@gmail.com.
authors.forename: Galia
authors.initials: G
authors.lastname: Moran
authors.affiliation: Department of Health System Management, Max Stern Academic College of Emek Yezreel, Israel.
authors.forename: Michal
authors.initials: M
authors.lastname: Mashiach-Eizenberg
authors.affiliation: Department of Community Mental Health, University of Haifa, Israel.
authors.forename: David
authors.initials: D
authors.lastname: Roe
authors.affiliation: Department of Community Mental Health, University of Haifa, Israel.
authors.forename: Yael
authors.initials: Y
authors.lastname: Berman
authors.affiliation: Beer-Sheva Center for Mental Health, Israel.
authors.forename: Anat
authors.initials: A
authors.lastname: Shalev
authors.affiliation: Beer-Sheva Center for Mental Health, Israel.
authors.forename: Zeev
authors.initials: Z
authors.lastname: Kaplan
authors.affiliation: Department of Community Mental Health, University of Haifa, Israel.
authors.forename: Paula
authors.initials: P
authors.lastname: Garber Epstein
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D011369:Professional-Patient Relations; D011613:Psychotherapy; D016896:Treatment Outcome; D055815:Young Adult
keywords: Acceptance; Consumer-provider relationships; Empowerment; Hope; Psychiatric relations; Subjective recovery; Therapeutic alliance