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We investigated whether the quality of the therapeutic relationship (TR) between patient and clinician predicts rehospitalization in patients in assertive outreach treatment. Analyses were conducted on 332 "established" (equal to in care for > or =3 months) and 150 "new" (equal to in care for <3 months) patients with severe mental illness sampled from 24 assertive outreach teams in London, England. TR was assessed at baseline using the clinician version of the Helping Alliance Scale. Rehospitalization was assessed over a 9-month follow-up period. Controlling for other predictors, a more positive TR was found to predict fewer hospitalizations in new patients but not in established ones.

Original publication

DOI

10.1097/NMD.0b013e318142cf5e

Type

Journal article

Journal

J Nerv Ment Dis

Publication Date

09/2007

Volume

195

Pages

789 - 791

Keywords

Adult, Attitude of Health Personnel, Burnout, Professional, Case Management, Community Mental Health Services, Community-Institutional Relations, Female, Follow-Up Studies, Hospitalization, Humans, London, Male, Mental Disorders, Patient Care Team, Patient Readmission, Professional-Patient Relations, Prognosis, Psychotherapy, Recurrence, Regression Analysis, Schizophrenia, Treatment Outcome