Skip to main content

Advertisement

Log in

Goal Achievement and the Accountability of Consumer-Run Organizations

  • Brief Report
  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

This study explores how consumer-run organizations (CROs) can maintain independence while meeting the accountability needs of funding agencies. The importance of both funding agency needs for accountability and CRO needs for independence are discussed. A goal-tracking process is proposed as a potential strategy for balancing the potentially conflicting needs of accountability and independence. To demonstrate the utility of the goal tracking approach, this study analyzes goal tracking documentation in 3 years of quarterly reports from 21 CROs (also known as consumer drop-in centers and self-help agencies). Results detail the different goals of CROs. A 68% goal achievement rate suggests general organizational competence. Furthermore, CRO operations appear to be relatively cost-efficient, with an average of $11.51 spent per person per day. The analysis of quarterly reports leads to a discussion of several insights that may be useful to CROs, funding agencies, researchers, and mental health professionals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Mowbray CT, Chamberlin P, Jennings M, et al. Consumer-run mental health services: Results from five demonstration projects. Community Mental Health Journal. 1988;24:151–156.

    Article  PubMed  CAS  Google Scholar 

  2. McLean AH. From ex-patient alternatives to consumer options: Consequences of consumerism for psychiatric consumers and the ex-patient movement. International Journal of Health Services. 2000;30(4):821–847.

    Article  PubMed  CAS  Google Scholar 

  3. Chamberlin J. The ex-patients’ movement: where we’ve been and where we’re going. Journal of Mind and Behavior. 1990;11:323–336.

    Google Scholar 

  4. Goldstrom ID, Campbell J, Rogers JA, et al. National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health and Mental Health Services Research. 2006;33:92–103.

    Article  PubMed  Google Scholar 

  5. Riessman F, Carroll D. Redefining Self-help. San Francisco: Jossey-Bass; 1995.

    Google Scholar 

  6. Estroff SE. Making It Crazy. Berkley: University of California Press; 1981.

    Google Scholar 

  7. Trainor J, Shepherd M, Boydell KM, et al. Beyond the service paradigm: the impact and implications of consumer/survivor initiatives. Psychiatric Rehabilitation Journal. 1997;21:132–140.

    Google Scholar 

  8. Segal SP, Silverman C. Determinants of client outcomes in self-help agencies. Psychiatric Services. 2002;53:304–309.

    Article  PubMed  Google Scholar 

  9. Mowbray CT, Robinson EA, Holter MC. Consumer drop-in centers: operations, services, and consumer involvement. Health and Social Work. 2002;27:248–261.

    Google Scholar 

  10. Nelson G, Lord J, Ochocka J. Shifting the Paradigm in Community Mental Health: Towards Empowerment and Community. Toronto: University of Toronto Press; 2001.

    Google Scholar 

  11. Kasinsky J. Cooptation. In: Zinman S, Harp HT, Budd S, eds. Reaching Across: Mental Health Clients Helping Each Other. Sacramento: California Network of Mental Health Clients; 1987:177–181.

    Google Scholar 

  12. Holter MC, Mowbray CT, Bellamy CD, et al. Critical ingredients of consumer run services: results of a national survey. Community Mental Health Journal. 2004;40(1):47–63.

    Article  PubMed  Google Scholar 

  13. Segal SP, Silverman C, Temkin T. Empowerment and self-help agency practice for people with mental disabilities. Social Work. 1993;38:705–712.

    PubMed  CAS  Google Scholar 

  14. Maton KI, Salem DA. Organizational characteristics of empowering community settings: a multiple case study approach. American Journal of Community Psychology. 1995;23:631–656.

    Article  PubMed  CAS  Google Scholar 

  15. Schulz AJ, Israel BA, Zimmerman MA, et al. Empowerment as a multi-level construct: perceived control at the individual, organizational and community levels. Health Education Research. 1995;10:309–327.

    Article  Google Scholar 

  16. Zimmerman MA, Rappaport J. Citizen participation, perceived control, and psychological empowerment. American Journal of Community Psychology. 1988;16:725–750.

    Article  PubMed  CAS  Google Scholar 

  17. Bryson JM. Strategic Planning for Profit and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement. San Francisco: Jossey-Bass; 1995.

    Google Scholar 

  18. Rodgers R, Hunter JE. Impact of management by objectives on organizational productivity. Journal of Applied Psychology. 1991;76:322–336.

    Article  Google Scholar 

  19. Kiresuk TJ, Lund SH. Goal attainment scaling. In: Attkisson CC, Hargreaves WA, Horowitz MJ, Sorensen JE, eds. Evaluation of Human Service Programs. New York: Academic; 1978.

    Google Scholar 

  20. Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks: Sage; 1998.

    Google Scholar 

  21. Mowbray CT, Tan C. Consumer-operated drop-in centers: evaluation of operations and impact. Journal of Mental Health Administration. 1993;20:8–19.

    Article  PubMed  CAS  Google Scholar 

  22. Meissen GJ, Gleason DF, Embree MG. An assessment of the needs of mutual-help groups. American Journal of Community Psychology. 1991;19:427–442.

    Article  PubMed  CAS  Google Scholar 

  23. Smith DH. Grassroots Associations. Thousand Oaks: Sage; 2000.

    Google Scholar 

  24. Fischer CS. To Dwell Among Friends: Personal Networks in Town and City. Chicago: University of Chicago Press; 1982.

    Google Scholar 

  25. Wuthnow R. Sharing the Journey: Support Groups and America’s New Quest for Community. New York: Free Press; 1994.

    Google Scholar 

  26. Milofsky C. Community Organizations: Studies in Resource Mobilization and Exchange. New York: Oxford University Press; 1988.

    Google Scholar 

Download references

Acknowledgements

Support for this research comes from Kansas Social and Rehabilitation Services, Division of Mental Health. The authors would also like to thank Louis Medvene for his feedback on earlier versions of this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Louis D. Brown PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brown, L.D., Shepherd, M.D., Wituk, S.A. et al. Goal Achievement and the Accountability of Consumer-Run Organizations. J Behav Health Serv Res 34, 73–82 (2007). https://doi.org/10.1007/s11414-006-9046-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-006-9046-y

Keywords

Navigation