The working alliance: Rehabilitation outcomes for persons with severe mental illness

Chandra M. Donnell, Daniel C. Lustig, David Strauser

Research output: Contribution to journalReview articlepeer-review

44 Citations (Scopus)


A key factor in the development of an effective relationship between the client and counselor is the development of a strong working alliance (Bordin, 1979). It is pertinent to recognize the consumer's subjective views (Lustig & Crowder, 2000) regarding the impact of the services they receive. In this study, individuals with severe mental illness (N=305) completed a survey that measured their reported level of the working alliance and information related to the outcome measures. Results indicated that employed clients measured stronger on the working alliance than the unemployed clients. Additionally, higher levels of working alliance were associated with higher levels of job satisfaction. Finally, the results indicated that for unemployed clients, the stronger the measured level of working alliance the more positive the clients viewed their employment future.

Original languageEnglish
Pages (from-to)12-18
Number of pages7
JournalJournal of Rehabilitation
Issue number2
Publication statusPublished - 2004 Apr 1

All Science Journal Classification (ASJC) codes

  • Rehabilitation
  • Clinical Psychology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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