Article: The working alliance: rehabilitation outcomes for persons with severe mental illness.

Estimates show that 22.1 percent of Americans ages 18 and older have a diagnosable mental disorder in a given year (Regier, Narrow, Rae, Manderscheid, Locke, & Goodwin, 1993), about 1 in 5 adults. These figures translate to approximately 44.3 million people, when applied to the 1998 U.S. Census residential population estimate (The National Institute on Health, 2001). The National Institute on Disability and Rehabilitation Research (NIDRR, 1993) contends that approximately 4 to 5 million of these persons have severe and chronic mental illness. Of the persons comprising this large group, approximately half are adults between the ages of 25 and 44 (Manderscheid & ...

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