THE WORKING ALLIANCE AND CONSUMER CASE-MANAGEMENT

The Working Alliance Inventory was used to measure the strength of the therapeutic relationship between seriously mentally disabled case man agement clients and their case managers in a randomized trial of consu mer-provided case management services. It was found that while there w as no difference in the strength of the alliance between the consumer and nonconsumer teams of case managers, there were positive relationsh ips between alliance and some outcomes, including quality of life, sym ptomatology, attitudes toward medication compliance, and satisfaction with mental health treatment.