Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services
Background: Self-determination within mental health services is increasingly recognized as an ethical imperative, but we still know little about the impact of choice on outcomes among people with severe mental illnesses. This study examines whether choice predicts outcomes and whether this relations...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2013-08-01
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| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | http://www.mdpi.com/2075-4426/3/3/191 |
| _version_ | 1797935360431357952 |
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| author | Mark S. Salzer Stacey L. Barrenger Victoria Stanhope Stephen C. Marcus |
| author_facet | Mark S. Salzer Stacey L. Barrenger Victoria Stanhope Stephen C. Marcus |
| author_sort | Mark S. Salzer |
| collection | DOAJ |
| description | Background: Self-determination within mental health services is increasingly recognized as an ethical imperative, but we still know little about the impact of choice on outcomes among people with severe mental illnesses. This study examines whether choice predicts outcomes and whether this relationship is mediated by therapeutic alliance. Method: The study sample of 396 participants completed a survey measuring choice, therapeutic alliance, recovery, quality of life and functioning. Multivariate analyses examined choice as a predictor of outcomes, and Sobel tests assessed alliance as a mediator. Results: Choice variables predicted recovery, quality of life and perceived outcomes. Sobel tests indicated that the relationship between choice and outcome variables was mediated by therapeutic alliance. Implications: The study demonstrates that providing more choice and opportunities for collaboration within services does improve consumer outcomes. The results also show that collaboration is dependent on the quality of the relationship between the provider and consumer. |
| first_indexed | 2024-04-10T18:13:14Z |
| format | Article |
| id | doaj.art-fead6740c6ce4394acad5f5053920dc2 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-04-10T18:13:14Z |
| publishDate | 2013-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-fead6740c6ce4394acad5f5053920dc22023-02-02T10:16:07ZengMDPI AGJournal of Personalized Medicine2075-44262013-08-013319120210.3390/jpm3030191Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health ServicesMark S. SalzerStacey L. BarrengerVictoria StanhopeStephen C. MarcusBackground: Self-determination within mental health services is increasingly recognized as an ethical imperative, but we still know little about the impact of choice on outcomes among people with severe mental illnesses. This study examines whether choice predicts outcomes and whether this relationship is mediated by therapeutic alliance. Method: The study sample of 396 participants completed a survey measuring choice, therapeutic alliance, recovery, quality of life and functioning. Multivariate analyses examined choice as a predictor of outcomes, and Sobel tests assessed alliance as a mediator. Results: Choice variables predicted recovery, quality of life and perceived outcomes. Sobel tests indicated that the relationship between choice and outcome variables was mediated by therapeutic alliance. Implications: The study demonstrates that providing more choice and opportunities for collaboration within services does improve consumer outcomes. The results also show that collaboration is dependent on the quality of the relationship between the provider and consumer.http://www.mdpi.com/2075-4426/3/3/191self-determinationtherapeutic alliancechoicemental health services |
| spellingShingle | Mark S. Salzer Stacey L. Barrenger Victoria Stanhope Stephen C. Marcus Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services Journal of Personalized Medicine self-determination therapeutic alliance choice mental health services |
| title | Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services |
| title_full | Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services |
| title_fullStr | Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services |
| title_full_unstemmed | Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services |
| title_short | Examining the Relationship between Choice, Therapeutic Alliance and Outcomes in Mental Health Services |
| title_sort | examining the relationship between choice therapeutic alliance and outcomes in mental health services |
| topic | self-determination therapeutic alliance choice mental health services |
| url | http://www.mdpi.com/2075-4426/3/3/191 |
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