Community Mental Health Journal

, Volume 40, Issue 1, pp 47–63

Critical Ingredients of Consumer Run Services: Results of a National Survey


  • Mark C. Holter
    • University of Michigan School of Social Work
  • Carol T. Mowbray
    • University of Michigan School of Social Work
  • Chyrell D. Bellamy
    • University of Michigan School of Social Work
  • Peter MacFarlane
    • University of Michigan School of Social Work
  • Jean Dukarski
    • Justice in Mental Health Organization

DOI: 10.1023/B:COMH.0000015217.65613.46

Cite this article as:
Holter, M.C., Mowbray, C.T., Bellamy, C.D. et al. Community Ment Health J (2004) 40: 47. doi:10.1023/B:COMH.0000015217.65613.46


Fidelity criteria are increasingly used in program monitoring and evaluation, but are difficult to derive for emerging models (i.e., those not based on theory or a research demonstration project). We describe steps used to develop and operationalize fidelity criteria for consumer-run (CR) mental health services: articulating and operationalizing criteria based on published literature, then revising and validating the criteria through expert judgments using a modified Delphi method. Respondents rated highest those structural and process components emphasizing the value of consumerism: consumer control, consumer choices and opportunities for decision-making, voluntary participation (and the absence of coercion), and respect for members by staff.

fidelityconsumer participationempowermentpsychosocial rehabilitationcommunity mental health centermental health servicesprogram evaluationself-help groupsUnited States

Copyright information

© Human Sciences Press, Inc. 2004