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Understanding the role of individual consumer-provider relationships within assertive community treatment.

The widespread adoption of assertive community treatment has resulted in a shift from an individual model to a team model of case management. The shift has had implications for individual relationships between case managers and consumers, but still little is known about how these relationships devel...

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Published in:Community Mental Health Journal Vol. 46; no. 4; pp. 309 - 319
Main Authors: Stanhope V, Matejkowski J
Format: research tables/charts Journal Article
Published: Springer Nature Aug2010
Online Access:View this record in EBSCOhost
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      dt: Aug2010
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      pub: Springer Nature
      place: New York, New York
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        atl: Understanding the role of individual consumer-provider relationships within assertive community treatment.
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          Stanhope V
          Matejkowski J
        affil: Silver School of Social Work, New York University, 1 Washington Square North New York 10003 USA
      sug:
        subj:
          Case Management Methods
          Community Mental Health Services Administration
          Multidisciplinary Care Team
          Professional-Client Relations
          Adult
          Female
          Funding Source
          Homelessness
          Human
          Interviews
          Male
          Qualitative Studies
          Random Sample
          Record Review
          Adult: 19-44 years
          Female
          Male
      ab: The widespread adoption of assertive community treatment has resulted in a shift from an individual model to a team model of case management. The shift has had implications for individual relationships between case managers and consumers, but still little is known about how these relationships develop in teams. This exploratory mixed methods study looked at how case managers and consumers negotiate individual relationships within a team model. Quantitative methods identified high and low service intensity relationships between consumers and case managers and qualitative methods explored and compared these relationships. Consumers in high service intensity relationships described a preference for certain case managers and the burden of working with multiple people. Case managers invested high service intensity relationships with special therapeutic value, articulated the challenges of coordinating care across the team, and utilized team limit setting techniques. In contrast, low service intensity relationships were more likely to reflect integration with the entire team. Findings suggest that teams need to consider how individual relationships enhance care for their consumers and how to nurture these relationships while maintaining the support necessary for case managers and consumers.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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