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Understanding the working alliance between persons with substance abuse problems and strengths-based case managers
Cristina Redko1, Richard C Rapp, Cindy Elms
1Center for Interventions, Treatment and Addictions Research, Wright State University, Boonshoft School of Medicine, Dayton, OH 45435, USA. cristina.redko@wright.edu
Journal of Psychoactive Drugs
|December 28, 2007
Summary
This study explored how individuals with substance abuse problems perceive the working alliance with case managers. A positive alliance, emphasizing personal control and strengths, fostered trust and self-esteem.
Area of Science:
- Social Sciences
- Psychology
- Addiction Studies
Background:
- The working alliance is crucial in psychotherapy, but less studied in case management.
- Case management for substance abuse often involves building therapeutic relationships.
Purpose of the Study:
- To explore client perceptions of the working alliance with strengths-based case managers.
- To understand how client-case manager relationships impact substance abuse recovery.
Main Methods:
- Qualitative methods were employed.
- 26 individuals with substance abuse problems participated.
- Client narratives were analyzed.
Main Results:
- Client narratives highlighted case manager personal qualities and relationship dynamics.
- Strengths-based principles like personal control and emphasis on strengths were evident.
- A positive working alliance was linked to increased trust, self-worth, and self-esteem.
Conclusions:
- Client perceptions underscore the importance of the case manager's personal attributes.
- Strengths-based case management principles positively influence the working alliance.
- A strong alliance is vital for building client trust and self-esteem in substance abuse recovery.
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