Outcomes From Consumer-Operated and Community Mental Health Services: A Randomized Controlled Trial

Segal, Steven P.; Silverman, Carol; Temkin, Tanya

doi:10.1176/ps.62.8.pss6208_0915

Cited by 26 publications

(28 citation statements)

References 24 publications

(6 reference statements)

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“…Consumer-provided services are different from consumer-operated service providers (COSPs). COSPs are independent, rather than statutory, organisations (ViaHope 2013), providing peer run and delivered services in the 'self-help' model, not in partnership with professionals (Segal 2011). They are "administratively and financially controlled by mental health consumers who plan, deliver, and evaluate their services" (Campbell 2008b).…”

Section: Biasmentioning

confidence: 99%

Consumer-providers of care for adult clients of statutory mental health services

Pitt

Lowe

Hill

et al. 2013

Cochrane Database of Systematic Reviews

227

242

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Involving consumer-providers in mental health teams results in psychosocial, mental health symptom and service use outcomes for clients that were no better or worse than those achieved by professionals employed in similar roles, particularly for case management services.There is low quality evidence that involving consumer-providers in mental health teams results in a small reduction in clients' use of crisis or emergency services. The nature of the consumer-providers' involvement differs compared to professionals, as do the resources required to support their involvement. The overall quality of the evidence is moderate to low. There is no evidence of harm associated with involving consumer-providers in mental health teams.Future randomised controlled trials of consumer-providers in mental health services should minimise bias through the use of adequate randomisation and concealment of allocation, blinding of outcome assessment where possible, the comprehensive reporting of outcome data, and the avoidance of contamination between treatment groups. Researchers should adhere to SPIRIT and CONSORT reporting standards for clinical trials.Future trials should further evaluate standardised measures of clients' mental health, adverse outcomes for clients, the potential benefits and harms to the consumer-providers themselves (including need to return to treatment), and the financial costs of the intervention. They should utilise consistent, validated measurement tools and include a clear description of the consumer-provider role (eg specific tasks, responsibilities and expected deliverables of the role) and relevant training for the role so that it can be readily implemented. The weight of evidence being strongly based in the United States, future research should be located in diverse settings including in low- and middle-income countries.

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Section: Biasmentioning

confidence: 99%

Consumer-providers of care for adult clients of statutory mental health services

Pitt

Lowe

Hill

et al. 2013

Cochrane Database of Systematic Reviews

227

242

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“…Consistent with conceptual and empirical assumptions, empowerment and recovery showed themselves to be strongly associated, as empowerment is considered an important mediator for mental health recovery [ 6 , 8 , 9 , 27 , 30 ]. The concurrent analysis for the overall scale confirmed the hypothesized results.…”

Section: Discussionmentioning

confidence: 61%

“…Community-based research suggested that community and organizational participation fosters the developmental process of personal, social and civic empowerment [ 7 ]. Research conducted by consumer-run organizations also revealed increased personal empowerment from participating in strength-based challenging initiatives [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Properties of the Portuguese version of the empowerment scale with mental health organization users

Jorge-Monteiro

Ornelas

2014

Int J Ment Health Syst

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BackgroundThis study examines the reliability and validity of the Portuguese version of the Empowerment Scale (ES) to be used in the community/psychosocial mental health field. Authors also reviewed the properties of the development and cross-cultural adaptation of the ES. Because mental health services are required to encourage empowerment and recovery-oriented interventions, adequate empowerment-oriented outcome measures are needed to evaluate services and study interventions across countries.MethodsThe current research was part of a larger research project with 213 participants. A confirmatory factor analysis (CFA) was conducted to observe the ES’s construct-related validity, and a reliability analysis for internal consistency. The ES concurrent validity with the recovery and psychiatric symptoms measures was also assessed using the Pearson’s correlation coefficient.ResultsThe CFA supported the five-factor configuration for the refined model of measure as satisfactory. The Portuguese version of the ES presented an overall satisfactory reliability (α = .79) and was positively correlated with personal recovery (r = .71) and inversely with psychiatric symptoms (r = -.22).ConclusionsThe overall scale was considered reliable and valid to be used by Portuguese researchers and practitioners to evaluate empowering interventions in mental health services. Furthermore, in the effort to increase ES construct-related validity, this article suggests further improvements to enhance the empowerment measure.

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“…Earlier published accounts by mental health advocates stated that the adoption of an empowerment orientation would represent a shift in mental health programs rendering them transformative in the lives of people with experience of mental illness (Chamberlin, 1997;Fisher, 1994). Research with consumer-run organizations (CRO) and self-help initiatives suggests that participating in strengths-based settings with challenging roles, results in greater empowerment among members (Brown, 2009;Fisher & Spiro, 2010;Segal, Silverman, & Temkin, 2011). This is congruent with the empowerment concept as a multilevel construct characterized by participatory processes over time, through which individuals, organizations, and communities gain greater control, efficacy and social justice (Rappaport, 1987).…”

Section: Theoretical and Empirical Influences For Ecs In Community Mementioning

confidence: 99%

What Transformation? A Qualitative Study of Empowering Settings and Community Mental Health Organizations

Jorge-Monteiro

Aguiar²,

Sacchetto³

et al. 2014

GJCPP

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This article is based on empowering settings research and has a twofold objective: to propose an adaptation of the empowering community settings framework to community mental health organizations practice to foster recovery and community integration; and to discuss how the adapted framework is a relevant tool to challenge community mental health transformation at multiple levels of analysis. The current study was anchored in a larger qualitative research project. It used a case study approach, with 8 in-depth interviews with diverse participants from one community mental health organization. The adapted model proved useful to guide transformational practice in community mental health programs and for evaluation of organizational empowerment and multilevel community-oriented interventions. Suggestions and implications for future research are also presented.

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Outcomes From Consumer-Operated and Community Mental Health Services: A Randomized Controlled Trial

Cited by 26 publications

References 24 publications

Consumer-providers of care for adult clients of statutory mental health services

Consumer-providers of care for adult clients of statutory mental health services

Properties of the Portuguese version of the empowerment scale with mental health organization users

What Transformation? A Qualitative Study of Empowering Settings and Community Mental Health Organizations

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