Administration and Policy in Mental Health and Mental Health Services Research

, Volume 25, Issue 2, pp 199–208

Consumers as Staff in Assertive Community Treatment Programs


  • Lisa Dixon
    • Department of PsychiatryUniversity of Maryland
  • Ann Hackman
    • Department of PsychiatryUniversity of Maryland
  • Anthony Lehman
    • Department of PsychiatryUniversity of Maryland

DOI: 10.1023/A:1022243106341

Cite this article as:
Dixon, L., Hackman, A. & Lehman, A. Adm Policy Ment Health (1997) 25: 199. doi:10.1023/A:1022243106341


The last decade has witnessed the increasing importance of consumers as providers of mental health services. Assertive Community Treatment (ACT) teams and ACT variants, with their emphasis on rehabilitation and support in the client's natural environment, have hosted consumer-professional collaborations. The authors discuss one such program in which an ACT program for homeless mentally ill adults employed consumer advocates (CAs). Consumer advocates were found to have a service profile similar to other staff. Further, there is suggestive evidence that the employment of CAs created a more positive attitude toward persons with mental illness. Issues of role definition, boundaries, support with supervision and the importance of CAs' experiences with mental illness are discussed.

Copyright information

© Human Sciences Press, Inc. 1997