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Are All Consumer-Operated Programs Empowering Self-Help Agencies?

Steven P Segal1, Carol Silverman2, Tanya L Temkin3

  • 1School of Social Welfare, University of California, Berkeley, Berkeley, California, USA.

Social Work in Mental Health
|September 14, 2020
PubMed
Summary
This summary is machine-generated.

Consumer-operated service programs (COSPs) with participant democracy leadership empower members more effectively than board-staff-run programs. This leadership style, emphasizing shared decision-making, enhances member empowerment.

Keywords:
community careconsumer-operated servicesdrop-in centersempowermentself help

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Area of Science:

  • Social Psychology
  • Organizational Behavior
  • Community Health

Background:

  • Consumer-operated service programs (COSPs) exhibit diverse organizational structures and leadership styles.
  • Two primary models identified are self-help agency (SHA)-participant democracy and board-staff-run COSPs.
  • Understanding the impact of leadership on member empowerment is crucial for program effectiveness.

Purpose of the Study:

  • To investigate whether members recognize the distinct leadership characteristics of SHA-participant democracy and board-staff-run COSPs.
  • To determine the association between these leadership styles and the degree of member empowerment.
  • To compare the effectiveness of different COSP leadership models in fostering member empowerment.

Main Methods:

  • A quantitative study involving 250 new entrants across five COSP drop-in centers.
  • Participants rated program leadership style using the COPES System Maintenance Scale.
  • Member empowerment was assessed using four distinct empowerment measures.
  • Statistical analyses included ANOVA with Bonferroni post-hoc tests and MANCOVA.

Main Results:

  • Significant differences in COSP system maintenance were found between the two organizational types (p < .000).
  • Members in SHA-participant democracy programs reported significantly higher empowerment on three of four measures compared to board-staff-run programs.
  • SHA-participant democracies, characterized by less system maintenance focus and more power sharing, demonstrated superior member empowerment.

Conclusions:

  • SHA-participant democracy leadership models are more effective in empowering members within COSPs.
  • Emphasis on power sharing and reduced focus on system maintenance are key factors in enhancing member empowerment.
  • Organizational decision-making processes in SHA-participant democracies are better utilized for member empowerment.