The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study
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{"title"=>"The relationship between therapeutic alliance and service user satisfaction in mental health inpatient wards and crisis house alternatives: A cross-sectional study", "type"=>"journal", "authors"=>[{"first_name"=>"Angela", "last_name"=>"Sweeney", "scopus_author_id"=>"26322114000"}, {"first_name"=>"Sarah", "last_name"=>"Fahmy", "scopus_author_id"=>"21034112300"}, {"first_name"=>"Fiona", "last_name"=>"Nolan", "scopus_author_id"=>"8511786600"}, {"first_name"=>"Nicola", "last_name"=>"Morant", "scopus_author_id"=>"6603484587"}, {"first_name"=>"Zoe", "last_name"=>"Fox", "scopus_author_id"=>"57027548400"}, {"first_name"=>"Brynmor", "last_name"=>"Lloyd-Evans", "scopus_author_id"=>"35311223300"}, {"first_name"=>"David", "last_name"=>"Osborn", "scopus_author_id"=>"7101639320"}, {"first_name"=>"Emma", "last_name"=>"Burgess", "scopus_author_id"=>"56270013700"}, {"first_name"=>"Helen", "last_name"=>"Gilburt", "scopus_author_id"=>"16834276600"}, {"first_name"=>"Rosemarie", "last_name"=>"McCabe", "scopus_author_id"=>"35614132800"}, {"first_name"=>"Mike", "last_name"=>"Slade", "scopus_author_id"=>"7101725583"}, {"first_name"=>"Sonia", "last_name"=>"Johnson", "scopus_author_id"=>"7406331085"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84904251393", "doi"=>"10.1371/journal.pone.0100153", "pui"=>"373524428", "issn"=>"19326203", "pmid"=>"25010773", "isbn"=>"1932-6203", "scopus"=>"2-s2.0-84904251393"}, "id"=>"5e2e32b1-6319-30ce-b16b-898b6b0a1e0e", "abstract"=>"BACKGROUND: Poor service user experiences are often reported on mental health inpatient wards. Crisis houses are an alternative, but evidence is limited. This paper investigates therapeutic alliances in acute wards and crisis houses, exploring how far stronger therapeutic alliance may underlie greater client satisfaction in crisis houses.\\n\\nMETHODS AND FINDINGS: Mixed methods were used. In the quantitative component, 108 crisis house and 247 acute ward service users responded to measures of satisfaction, therapeutic relationships, informal peer support, recovery and negative events experienced during the admission. Linear regressions were conducted to estimate the association between service setting and measures, and to model the factors associated with satisfaction. Qualitative interviews exploring therapeutic alliances were conducted with service users and staff in each setting and analysed thematically.\\n\\nRESULTS: We found that therapeutic alliances, service user satisfaction and informal peer support were greater in crisis houses than on acute wards, whilst self-rated recovery and numbers of negative events were lower. Adjusted multivariable analyses suggest that therapeutic relationships, informal peer support and negative experiences related to staff may be important factors in accounting for greater satisfaction in crisis houses. Qualitative results suggest factors that influence therapeutic alliances include service user perceptions of basic human qualities such as kindness and empathy in staff and, at service level, the extent of loss of liberty and autonomy.\\n\\nCONCLUSIONS AND IMPLICATIONS: We found that service users experience better therapeutic relationships and higher satisfaction in crisis houses compared to acute wards, although we cannot exclude the possibility that differences in service user characteristics contribute to this. This finding provides some support for the expansion of crisis house provision. Further research is needed to investigate why acute ward service users experience a lack of compassion and humanity from ward staff and how this could be changed.", "link"=>"http://www.mendeley.com/research/relationship-between-therapeutic-alliance-service-user-satisfaction-mental-health-inpatient-wards-cr", "reader_count"=>52, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>6, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>4, "Student > Master"=>8, "Other"=>5, "Student > Bachelor"=>11, "Lecturer"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>6, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>4, "Student > Master"=>8, "Other"=>5, "Student > Bachelor"=>11, "Lecturer"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>4, "Mathematics"=>1, "Medicine and Dentistry"=>13, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>23, "Social Sciences"=>8, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>13}, "Social Sciences"=>{"Social Sciences"=>8}, "Psychology"=>{"Psychology"=>23}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>2}, "group_count"=>2}

Scopus | Further Information

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  • {"unique-ip"=>"31", "full-text"=>"32", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}
  • {"unique-ip"=>"23", "full-text"=>"23", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"3"}
  • {"unique-ip"=>"34", "full-text"=>"38", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"42", "full-text"=>"47", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"41", "full-text"=>"49", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"17", "full-text"=>"20", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"14", "full-text"=>"18", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}
  • {"unique-ip"=>"14", "full-text"=>"14", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}
  • {"unique-ip"=>"33", "full-text"=>"32", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"10"}

Relative Metric

{"start_date"=>"2014-01-01T00:00:00Z", "end_date"=>"2014-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences/Diagnostic medicine", "average_usage"=>[257]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[283, 456]}, {"subject_area"=>"/People and places", "average_usage"=>[302]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[300]}, {"subject_area"=>"/Social sciences", "average_usage"=>[318]}, {"subject_area"=>"/Social sciences/Economics", "average_usage"=>[340, 521]}]}
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Net::HTTPTooManyRequests

Source
Scopus
Time
2019-08-27 20:08:54 UTC
Target URL
https://api.elsevier.com/content/search/index:SCOPUS?query=DOI(10.1371%2Fjournal.pone.0100153)
Trace

/app/models/concerns/networkable.rb:21:in `get_result'
/app/models/source.rb:165:in `get_data'
/app/models/retrieval_status.rb:47:in `perform_get_data'
/app/jobs/source_job.rb:52:in `block (2 levels) in perform'
/app/jobs/source_job.rb:51:in `block in perform'
/app/jobs/source_job.rb:35:in `each'
/app/jobs/source_job.rb:35:in `perform'