, Volume 34, Issue 6, pp 569-578

The Helping Alliance in Case Management for Homeless Persons with Severe Mental Illness

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This study examined the role of the helpingalliance in case management with homeless persons whohave a severe mental illness. A strong alliance aftertwo months of treatment was marginally associated with three outcomes: higher consumersatisfaction, less severe global symptom severity, andgreater hostility. The only outcome associated with thealliance after fourteen months of treatment was consumer satisfaction. Several variables predicted astrong helping alliance at month two, including: beingAfrican American, low hostility, more perceived needs,and more program contacts. The only variable that predicted a strong alliance at month fourteenwas a strong alliance at month two.