Table 3. Random intercepts multi-level linear regression model of change in PAM between baseline and follow-up conditional on 2 factors of therapeutic alliance, communication, PAM at baseline, participant characteristics (sociodemographics, mental health status, disability) and clinical contributors (diagnosis, attendence ratio, length of treatment) (n=170).

Predictor	PAM (follow-up)			PAM (follow-up)			PAM(follow-up)
	Beta	SE	P value	Beta	SE	P value	Beta	SE	P value
Therapeutic Alliance Factor 1 (task & goal)	0.46	0.18	0.01	0.47	0.19	0.016	0.46	0.20	0.02
Therapeutic Alliance Factor 2 (bond)	-0.31	0.38	0.42	-0.28	0.41	0.50	-0.29	0.42	0.49
Communication	-0.23	0.36	0.52	-0.24	0.38	0.53	-0.24	0.38	0.53
PAM at baseline	-0.38	0.06	<.0001	-0.38	0.08	<.0001	-0.38	0.08	<.0001
Female (male as reference)				-2.11	1.96	0.28	-2.26	2.04	0.27
Race/Ethnicity (white as reference)
Latino				-2.58	3.09	0.40	-2.38	3.18	0.45
Black				2.46	3.30	0.46	2.50	3.34	0.45
Other				1.06	4.16	0.80	1.07	4.19	0.80
Age (18-34 as reference)
35-49				0.87	2.44	0.72	0.87	2.48	0.73
50-64				-3.64	2.58	0.16	-3.73	2.66	0.16
65+				-5.96	8.45	0.48	-5.90	8.61	0.49
Immigrant (US-born as reference)				1.22	2.62	0.64	1.14	2.65	0.67
Education (less than 12 yrs as reference) 12 or more than 12 yrs				2.22	2.12	0.30	2.21	2.19	0.31
Employed (unemployment as reference)				-2.17	2.24	0.33	-2.05	2.29	0.37
Insurance Status (uninsured as reference)
Private Only				3.31	3.03	0.28	3.17	3.09	0.31
Public Only				-0.22	2.20	0.92	-0.13	2.26	0.95
Other				8.51	12.40	0.49	8.34	12.59	0.51
Mental Health (good as reference)
Excellent				-2.19	2.22	0.32	-2.12	2.25	0.35
Very Good				6.96	3.06	0.02	7.08	3.11	0.02
Fair				-4.83	2.88	0.09	-4.81	2.90	0.10
Poor				4.36	5.19	0.40	4.30	5.24	0.41
Disability Days				-0.28	0.10	0.01	-0.27	0.10	0.01
Diagnosis (depression as reference)
Anxiety Disorder				4.85	3.11	0.12	4.70	3.18	0.14
Bipolar Disorder				1.92	3.19	0.55	1.98	3.26	0.54
Psychotic Disorder				0.98	4.90	0.84	0.74	5.13	0.89
Adjustment Disorder				-0.76	3.37	0.82	-0.85	3.41	0.80
Other				3.13	2.93	0.29	3.19	2.96	0.28
Attendance ratio during 180 days before baseline							1.52	4.90	0.76
Length in Treatment (months)							0.00	0.01	0.96
Constant	19.81	11.04	0.07	21.06	12.59	0.09	20.02	13.15	0.13