Therapeutic relationships in vocational rehabilitation: Predicting good relationships for people with psychosis

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

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

28 Citations (Scopus)

Abstract

Therapeutic relationships between clients and vocational rehabilitation workers have been shown to predict entering competitive employment. We aimed to determine predictors of good relationships, using data from an international randomized controlled trial of supported employment (n = 312). Baseline predictors of early therapeutic relationships with vocational workers were assessed, along with the impact of vocational status and changing clinical and social functioning variables on relationship ratings over time. Associations between client and professional relationship ratings were also explored. Better early client-rated therapeutic relationship was predicted by better baseline relationship with the clinical keyworker, being in the Individual Placement and Support (IPS) service, the absence of work history and a greater proportion of care needs being met, whereas over time it was predicted by being in the IPS service. Professional-rated early relationship was predicted by social disability and remission, while over time it was predicted by being the same sex as the client, duration of the relationship and the client's increasing anxiety. Client and professional ratings were positively associated but clients' ratings were higher than professionals', particularly in the IPS service. Relationships were better where clients may have been more motivated to engage, including by their prior experience of a good therapeutic relationship with the clinical keyworker. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)68-73
Number of pages6
JournalPsychiatry Research
Volume187
Issue number1-2
DOIs
Publication statusPublished - 15-May-2011

Keywords

  • Vocational rehabilitation
  • Severe mental illness
  • Patient-physician relationship
  • SEVERE MENTAL-ILLNESS
  • RANDOMIZED CONTROLLED-TRIAL
  • SUPPORTED EMPLOYMENT
  • EUROPEAN VERSION
  • WORKING ALLIANCE
  • SCHIZOPHRENIA
  • SCALE
  • RELIABILITY
  • CRITERIA
  • OUTCOMES

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