Adjustment Disorder Amongst Welfare Social Service Clients: The Role of Period of Service Receipt and Social Worker's Alternation

Adjustment disorder is a maladaptive reaction to common life events. Levels of adjustment disorder can serve as one of the indicators of the effectiveness of social services interventions. Yet, the role of service receipt period and of social worker alternation in explaining levels of adjustment disorder remains unclear. In order to explore this issue, structured questionnaires were distributed to a random sample of 190 clients of a social services department in Israel. Whilst no significant differences were found between service receipt periods with regard to clients' adjustment disorder, clients treated by a single social worker reported lower levels of adjustment disorder than those treated by alternating social workers. Furthermore, new and long-standing clients, treated by alternating social workers displayed higher levels of adjustment disorder than those treated by a single social worker. The importance of therapeutic alliance is discussed in light of the present findings.