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Toward the Implementation of Mental Health Consumer Provider Services

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Abstract

Encouraged by the New Freedom Commission, mental health systems such as the Veteran Administration (VA) are now becoming more recovery-oriented. Consumer providers (CPs)—those with serious mental illness who are further along in recovery who provide services to others with similar mental health problems—are viewed as a key part of this change. However, organizational change theories suggest that careful consideration of implementation issues is critical when disseminating new and sometimes controversial services into existing organizations. Therefore, to guide the dissemination of CP services, the literature on the effectiveness of CPs was reviewed, and interviews, focus groups, and a brief survey of 110 administrators, providers, and patients were conducted at three large VA clinics in Southern California. Questions focused on their perceptions of feasibility and acceptability of CP services. Using literature and study findings, an organizational change framework and other strategies to overcome potential implementation challenges of CP services are suggested.

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Acknowledgments

The VA Health Services Research and Development Service (HSR&D) provided funding for this paper through support of Improving Care of Veterans by Using Consumers as Mental Health Providers (#IIR 02-009). Work on this paper was also supported by The Department of Veterans Affairs Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC). We would like to thank Gery Ryan at RAND for his assistance with the qualitative methods used in this project. Any opinions expressed are only the authors' and do not necessarily represent the views of any affiliated institutions.

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  1. Health Services Unit, West Los Angeles VA MIRECC, 11301 Wilshire Blvd. (210A), Los Angeles, CA, 90073, USA

    Matthew Chinman PhD (Health Science Specialist)

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  1. Matthew Chinman PhD
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  2. Alexander S. Young MD, MSHS
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  3. Joseph Hassell MA
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  4. Larry Davidson PhD
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Correspondence to Matthew Chinman PhD.

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Alexander S. Young, MD, MSHS, Director, Health Services Unit, VISN 22 MIRECC, West LA VA Healthcare Center, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA.

Joseph Hassell, MA, Program Coordinator, Health Services Unit, VISN 22 MIRECC, West LA VA Healthcare Center, 11301 Wilshire Blvd., Los Angeles, CA 90073, USA.

Larry Davidson, PhD, Associate Professor and Director, Yale Program for Recovery and Community Health, Yale University School of Medicine, Department of Psychiatry, Erector Square 6W, Suite IC, 319, Peck Street, New Haven, CT 06511, USA.

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Chinman, M., Young, A.S., Hassell, J. et al. Toward the Implementation of Mental Health Consumer Provider Services. JBHSR 33, 176–195 (2006). https://doi.org/10.1007/s11414-006-9009-3

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