Conclusions
We are reminded by the growth of consumer-run approaches of the value of diversity and individual choice in community support of persons with severe mental illness. These ideas are evident in the alternative approaches that have been developed to serve persons who have not been reached by more traditional services. The ACT program, described by Bond et al. (1990), is an example of a service approach designed to be responsive to individuals' day-to-day needs as they define them. Continued development of this type of alternative service should be encouraged.
Persons coping with severe mental illness benefit from a variety of community supports and resources. Strategies that encourage consumer involvement, ownership, and control help to provide diversity of services and to empower the consumer. Our efforts, as professionals, to provide community services can be enhanced by (a) supporting diversity of service and resource options, both inside and outside of the professional mental health system; (b) developing services that are responsive to individuals needs as they define them; and (c) facilitating the process of consumer choice in selecting resources options.
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References
Bond, G. R., Witheridge, T. F., Dincin, J., Wasner, D., Webb, J., & De Graaf-Kaser, R. (1990). Assertive community treatment for frequent users of psychiatric hospitals in a large city: A controlled study.American Journal of Community Psychology, 18, 865–891.
Chamberlin, J. (1979).On our own: Patient controlled alternatives to the mental health system. New York: McGraw-Hill.
Levine, M. (1988). An analysis of mutual assistance.American Journal of Community Psychology, 16, 167–188.
Long, L. A. & Van Tosh, L. (1988). Consumer-run self-help programs serving homeless people with a mental illness (Contract No. 304666). Rockville, MD: National Institute of Mental Health.
Stein, L. I., & Test, M. A. (1980). Alternative to mental hospital treatment I. Conceptual model, treatment program, and clinical evaluation.Archives of General Psychiatry, 37, 392–412.
Stroul, B. (1986).Models of community support services: Approaches to helping persons with long-term mental illness. Rockville, MD: National Institute of Mental Health.
Weick, K. E. (1979).The social psychology of organizing. Reading, MA: Addison-Wesley.
Zinman, S. (1987a). Definition of self-help groups. In S. Budd, H. the Harp, & S. Zinman (Eds.),Reaching across: Mental health clients helping each other (pp. 7–15). Riverside: California Network of Mental Health Clients.
Zinman, S. (1987b). Is the partnership model self-help? In S. Budd, H. the Harp, & S. Zinman (Eds.),Reaching across: Mental health clients helping each other (pp. 16–18). Riverside: California Network of Mental Health Clients.
Zinman, S. (1982). A patient-run residence.Psychosocial Rehabilitation Journal, 6, 3–11.
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The author expresses thanks to Marc A. Zimmerman and Richard H. Price for comments on earlier drafts of this paper.
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Salem, D.A. Community-based services and resources: The significance of choice and diversity. Am J Commun Psychol 18, 909–915 (1990). https://doi.org/10.1007/BF00938071
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DOI: https://doi.org/10.1007/BF00938071