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

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

Research output: Contribution to journalReview articlepeer-review


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 (US)
Pages (from-to)12-18
Number of pages7
JournalJournal of Rehabilitation
Issue number2
StatePublished - Apr 2004
Externally publishedYes

ASJC Scopus subject areas

  • Rehabilitation
  • Health Policy
  • Health Professions(all)


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