Abstract
This paper takes another look at the role of the consumer in the planning and delivery of services, including mental health services. It raises the issue of consumer representation, explores the antecedents of national legislation requiring consumer participation, indicates problems related to participation and details some solutions. In particular, the paper questions the effect of such participation on the delivery of mental health services and challenges Nader's Raiders who question the representation on boards of “Charity minded housewives, businessmen, lawyers, ministers, judges, and professional persons...”
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ABCD, Inc. Proposal for a health training program. Boston: 1968 (mimeo).
Black, H. Heed public, hospitals told.Boston Globe, March 26, 1969, 6.
Bloomberg, W., & Rosenstock, F. Who can activate the poor. In W. Bloomberg and H. Schmandt (Ed.),Power, poverty and urban policy, Vol. II,United Affairs Annual Reviews. California: Sage Publications, 1968.
Brody, S. J. Maximum participation of the poor: Another holy grail?Social Work, 1970,15, 68–75.
DeTocqueville, A.Democracy in America. New York: Vintage Books, 1945 (originally published 1835).
Eighty-ninth Congress. Hearings before the Subcommittee on Health of the Committee on Labor and Public Welfare, U.S. Senate, March 16 and 17, 1966. Washington, D.C.: U.S. Government Printing Office.
Eighty-ninth Congress. Hearings before the Committee on Interstate and Foreign Commerce, U.S. House of Representatives, October 11, 1966. Washington, D.C.: U.S. Government Printing Office.
Frieden, B. J., & Morris, R. Citizens organization and participation. In B. J. Frieden & H. Schmandt (Eds.),Urban planning and social policy. New York: Basic Books, 1968.
Gilbert, N., & Eaton, J. W. Who Speaks for the Poor?Journal of the American Institute of Planners, 1970,36, 411–416.
Glasscote, R. M., Sussex, J. N., Cumming, E., & Smith, L. N.The community mental health center, an interim proposal. Washington, D.C.: Joint Information Service of APA and NAMH, 1969.
Grosser, C. F. Community organization and the grass roots.Social Work, 1967,1, 61–68.
Grossman, D. A. The community action program: a new function for local government. In B. J. Frieden and H. Schmandt (Eds.),Urban planning and social policy. New York: Basic Books, 1968.
Henry, P. Pimps, prostitutes, and policemen: Educating consumers for participating in health planning.American Journal of Public Health, 1970, 60, 2171–2174.
King, C.Your committee in community action. New York: Harper & Rowe, 1952.
Kravitz, S. The community action program in perspective. In W. Bloomberg and H. Schmandt (Eds.),Power, poverty and urban policy, Vol. II,United Affairs Annual Reviews. California: Sage Publications, 1968.
Little, A. D. Strategies for shaping model cities. Cambridge, Massachusetts: Harvard University Press, 1967.
Moynihan, D. P. Maximum feasible misunderstanding. New York: Free Press, 1969.
Nader report scores U.S. unit in mental health center plans.New York Times, July 23, 1972, 24.
National Commission on Community Health Services.Health is a community affair. Cambridge, Massachusetts: Harvard University Press, 1966.
Parker, A. W. The consumer as policy-maker—Issues of training.American Journal of Public Health, 1970,60, 2139–2153.
OEO.Community action program guide, Vol. I. Washington, D.C.: U.S. Government Printing Office, 1965.
Public Law 88-164. Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963. October 31, 1963.
Public Law 89-749. Comprehensive Health Planning and Public Health Service Amendments of 1966. November 3, 1966.
Rabiner, C. J. Organizing a community advisory board for a mental health center.Hospital and Community Psychiatry, 1972,23, 30–33.
Rubin, L. Maximum feasible participation: The origins, implications and present status.Poverty and Human Resources Abstracts, 1967,2, 6.
Wells, B. B. Role of the consumer in regional medical programs.American Journal of Public Health, 1970,60, 2133–2138.
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Thomson, R. The whys and why nots of consumer participation. Community Ment Health J 9, 143–150 (1973). https://doi.org/10.1007/BF01411090
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DOI: https://doi.org/10.1007/BF01411090