Relationship between risk assessment and therapeutic relationship

  • Research type

    Research Study

  • Full title

    How do mental health service-users understand the relationship between the risk assessment process and the therapeutic alliance in a community mental health setting?

  • IRAS ID

    145325

  • Contact name

    Annette Murphy

  • Contact email

    a.murphy@surrey.ac.uk

  • Duration of Study in the UK

    0 years, 5 months, 29 days

  • Research summary

    Risk-assessment in mental health services is a legal and professional obligation that provides an opportunity for collaborative information-gathering, however evidence suggests that risk-assessment is not always perceived by service-users as a positive process. The therapeutic alliance has been outlined as being a crucial element of successful therapy and it is possible that if risk-assessment is experienced as a difficult event there will be a negative impact on the alliance. It is also possible that talking about risk may enhance the alliance. In the absence of direct evidence relating to risk-assessment and the therapeutic relationship this study aims to conduct an in-depth, exploratory, qualitative study to discover whether risk-assessment has an impact on the therapeutic alliance and how this relationship is perceived by service-users.
    Six mental health service-users who are currently under the care of a Community Mental Health Recovery Service (CMHRS) will be recruited for interview via referrals from their Care Coordinator. Open-ended, in-depth interviews will be conducted that aim to understand risk-assessment from the world view of the service-user. Interpretative Phenomenological Analysis (IPA) will be used to analyse the data and this will allow the researcher to explore the idiographic meaning making a participant attributes to particular experiences.

  • REC name

    London - Surrey Research Ethics Committee

  • REC reference

    15/LO/0035

  • Date of REC Opinion

    2 Feb 2015

  • REC opinion

    Further Information Favourable Opinion