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Therapeutic alliance: satisfaction and attrition of patients from a mental health clinic in Ayacucho, Peru

Published online by Cambridge University Press:  02 January 2018

Maria C. Prom ,
Jeffrey Stovall ,
Luis E. Bedregal ,
James Phillips  and
Mario A. Davidson
Maria C. Prom
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee, USA, email maria.c.prom@vanderbilt.edu
Jeffrey Stovall
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee, USA
Luis E. Bedregal
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, USA
James Phillips
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, USA
Mario A. Davidson
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee, USA
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Abstract

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This study examines the role of the patient–provider relationship (alliance) and patient satisfaction in early patient withdrawal from mental health therapy in rural Peru. A prospective comparison of 60 patients demonstrated that early withdrawal was associated with the clinician's, but not the patient's, evaluation of the patient–provider alliance. This suggests that the satisfaction and alliance questionnaires typically used in high-income countries may not be effective in evaluating patient attitudes in this population, but may be useful for clinician evaluations of the alliance. Clinicians can use the Working Alliance Inventory to indicate the need for early intervention to prevent patient drop-out in middle- and low-income countries.

Type
Research papers
Information
International Psychiatry , Volume 11 , Issue 4 , November 2014 , pp. 95 - 97
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2014

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