Effects of participation in consumer-operated service programs on both personal and organizationally mediated empowerment: results of multisite study

The number of empowerment-oriented consumer-operated service programs (COSPs) in mental health has increased dramatically over the past decade; however, little empirical evidence exists about the effects of such programs on their intended outcomes. This study examined the effects of COSPs on various...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2007-01, Vol.44 (6), p.785-799
Main Authors: Rogers, E Sally, Teague, Gregory B, Lichenstein, Carolyn, Campbell, Jean, Lyass, Asya, Chen, Ren, Banks, Steven
Format: Article
Language:English
Subjects:
Community Participation
Consumers
Female
Humans
Male
Mental Disorders - rehabilitation
Mental Health
Mental Health Services - organization & administration
Middle Aged
Power (Psychology)
Program Evaluation - methods
Psychology
Purchase orders
Role models
Social activism
Social Support
Studies
Support groups
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Summary:The number of empowerment-oriented consumer-operated service programs (COSPs) in mental health has increased dramatically over the past decade; however, little empirical evidence exists about the effects of such programs on their intended outcomes. This study examined the effects of COSPs on various aspects of empowerment within the context of a multisite, federally funded, randomized clinical trial of COSPs. Results suggest that the individuals who received the consumer-operated services perceived higher levels of personal empowerment than those in the control intervention; overall, effect sizes were very modest when all sites were examined together in intent-to-treat analyses. However, we noted variations in outcomes by intensity of COSP use and also by study site, which suggest that specific programs had significant effects, while others did not. The implications of these results for the mental health field and for service providers and policy makers are discussed.
ISSN:0748-7711
1938-1352
DOI:10.1682/jrrd.2006.10.0125