Case management relationships and a recovery orientation: A consumer survey of class members in the Arnold case

Jose Ashford, Blythe FitzHarris, Nancy Diggs

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

The purpose of this study was to examine the relative contributions of the working alliance in predicting a recovery orientation. An additional aim was to determine whether a measure of case management fairness contributed any additional proportion of explained variance in a recovery orientation beyond what is accounted for by the working alliance. The study blended structured interview and clinical judgment measures with survey research methods to obtain data about consumer relationships with their case managers, as well as their recovery attitudes. The sample consisted of (N = 167) priority-class members involved in the Arnold v. Arizona Department of Health Services class-action lawsuit in Maricopa County, Arizona. The results showed that the working alliance and case management fairness variables accounted for more of the explained variance in a recovery orientation, than any of the other known correlates of recovery. The results also provided some preliminary support for the inclusion of case management fairness as a predictor variable of a recovery orientation, in that the study's measure of case management fairness contributed a small proportion of additional variance beyond what was explained by the working alliance in predicting a dimension of a recovery orientation. The implications of the study's findings for practice and future research are discussed.

Original languageEnglish (US)
Pages (from-to)317-326
Number of pages10
JournalAmerican Journal of Orthopsychiatry
Volume80
Issue number3
DOIs
StatePublished - Jul 2010

Keywords

  • Arnold v. Arizona Department of Human Services
  • Case management
  • Empowerment
  • Hope
  • Insight
  • Legal policy
  • Maricopa County
  • Medication adherence
  • Procedural justice
  • Quality of life
  • Recovery from mental illness
  • Severe mental illness
  • Working alliance

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Psychology (miscellaneous)
  • Psychiatry and Mental health

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