Community Mental Health Journal

, Volume 40, Issue 1, pp 47–63 | Cite as

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

  • Mark C. Holter
  • Carol T. Mowbray
  • Chyrell D. Bellamy
  • Peter MacFarlane
  • Jean Dukarski


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.

fidelity consumer participation empowerment psychosocial rehabilitation community mental health center mental health services program evaluation self-help groups United States 


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Copyright information

© Human Sciences Press, Inc. 2004

Authors and Affiliations

  • Mark C. Holter
    • 1
  • Carol T. Mowbray
    • 2
  • Chyrell D. Bellamy
    • 2
  • Peter MacFarlane
    • 2
  • Jean Dukarski
    • 3
  1. 1.University of Michigan School of Social WorkAnn Arbor
  2. 2.University of Michigan School of Social WorkAnn Arbor
  3. 3.Justice in Mental Health OrganizationLansing

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