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Related Experiment Videos

Crisis intervention response and long-term outcome: a pilot study.

A V Andreoli1, A Muehlebach, M Gognalons

  • 1Department of Psychiatry, University of Geneva Medical School, Switzerland.

Comprehensive Psychiatry
|November 1, 1992
PubMed
Summary

Therapeutic alliance and insight gained during crisis intervention predict long-term treatment compliance and positive outcomes. These process variables are key indicators for sustained mental health improvement.

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Area of Science:

  • Psychiatry and Psychology
  • Clinical Psychology
  • Mental Health Services Research

Background:

  • Long-term treatment compliance and outcomes are crucial in psychiatric care.
  • Understanding predictive factors for sustained improvement is essential.
  • Crisis intervention effectiveness requires evaluation beyond immediate symptom relief.

Purpose of the Study:

  • To determine if process variables from crisis intervention predict long-term treatment compliance and 2-year outcomes.
  • To assess the predictive value of therapeutic alliance and insight at intervention termination.
  • To examine the independence of these predictors from various demographic and clinical factors.

Main Methods:

  • Thirty-seven depressed patients receiving outpatient crisis intervention (CCI) were assessed.

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  • Data collected at intake, 1 week, and CCI termination (mean 6 weeks).
  • Follow-up assessments at 1 and 2 years for 31 subjects (84%).

    • Main Results:

    • A strong working alliance and developed insight at CCI termination predicted positive global change and symptom improvement at 1 and 2 years.
    • These process measures were independent of baseline characteristics, including initial therapeutic alliance, symptom severity, and diagnosis.

    Conclusions:

    • Therapeutic alliance and insight are significant predictors of long-term outcomes in crisis intervention.
    • Focusing on these process variables may enhance sustained recovery for depressed patients.
    • These findings support the importance of relational and cognitive factors in predicting treatment success.