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The 'consumer-as-provider' initiative.

C L Stephens1, K C Belisle

  • 1Northern Rhode Island Community Mental Health Center Inc., Woonsocket 02895.

Journal of Mental Health Administration
|July 1, 1993
PubMed
Summary
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This study examines the integration of consumers as providers in mental health services. It suggests that genuine system change, not just hiring, is crucial for effective consumer-driven care.

Area of Science:

  • Mental Health Services Research
  • Consumer-Driven Healthcare Models
  • Psychiatric Rehabilitation

Background:

  • Federal funding supports technical assistance centers in Region I (New England) to promote consumer-driven mental health systems.
  • Authors consult on improving services for individuals with long-term psychiatric conditions.

Purpose of the Study:

  • To re-examine conventional wisdom regarding the role of consumers as providers in mental health care.
  • To analyze the implementation of consumer provider roles beyond superficial "quick fixes."

Main Methods:

  • Analysis of personal, family, and work experiences of authors involved in mental health initiatives.
  • Consultation with various organizations and communities on service improvement for adults and children with psychiatric problems.

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Main Results:

  • Observed instances where hiring consumers was perceived as a superficial solution rather than a result of fundamental system change.
  • Identified a need to differentiate between genuine integration and tokenism in consumer provider roles.

Conclusions:

  • Effective implementation of consumer-driven mental health systems requires deep-seated attitudinal and programmatic shifts.
  • The role of consumers as providers should reflect authentic systemic transformation, not merely a "quick fix" for service gaps.