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Staff-patient perceptions of the helpfulness of an alcoholism treatment program: an exploratory study of treatment relationships.

Patient versus staff perceptions of the helpfulness of an alcoholism treatment program were assessed by asking subjects to rank order nine treatment modalities. While overall agreement within and between the two groups was noted, further analysis led to the following finding: Patients who disagreed with the staff about the helpfulness of the two most highly ranked modalities were more likely to receive poor ratings from them, on items reflecting the staff' attitude toward and evaluation of patient progress and prognosis. Further research will need to establish why such mismatching occurs among some patients, and with what relation to the outcome of their treatment.