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.
References
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.
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.
Chamberlin J. The ex-patients’ movement: where we’ve been and where we’re going. Journal of Mind and Behavior. 1990;11:323–336.
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.
Riessman F, Carroll D. Redefining Self-help. San Francisco: Jossey-Bass; 1995.
Estroff SE. Making It Crazy. Berkley: University of California Press; 1981.
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.
Segal SP, Silverman C. Determinants of client outcomes in self-help agencies. Psychiatric Services. 2002;53:304–309.
Mowbray CT, Robinson EA, Holter MC. Consumer drop-in centers: operations, services, and consumer involvement. Health and Social Work. 2002;27:248–261.
Nelson G, Lord J, Ochocka J. Shifting the Paradigm in Community Mental Health: Towards Empowerment and Community. Toronto: University of Toronto Press; 2001.
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.
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.
Segal SP, Silverman C, Temkin T. Empowerment and self-help agency practice for people with mental disabilities. Social Work. 1993;38:705–712.
Maton KI, Salem DA. Organizational characteristics of empowering community settings: a multiple case study approach. American Journal of Community Psychology. 1995;23:631–656.
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.
Zimmerman MA, Rappaport J. Citizen participation, perceived control, and psychological empowerment. American Journal of Community Psychology. 1988;16:725–750.
Bryson JM. Strategic Planning for Profit and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement. San Francisco: Jossey-Bass; 1995.
Rodgers R, Hunter JE. Impact of management by objectives on organizational productivity. Journal of Applied Psychology. 1991;76:322–336.
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.
Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks: Sage; 1998.
Mowbray CT, Tan C. Consumer-operated drop-in centers: evaluation of operations and impact. Journal of Mental Health Administration. 1993;20:8–19.
Meissen GJ, Gleason DF, Embree MG. An assessment of the needs of mutual-help groups. American Journal of Community Psychology. 1991;19:427–442.
Smith DH. Grassroots Associations. Thousand Oaks: Sage; 2000.
Fischer CS. To Dwell Among Friends: Personal Networks in Town and City. Chicago: University of Chicago Press; 1982.
Wuthnow R. Sharing the Journey: Support Groups and America’s New Quest for Community. New York: Free Press; 1994.
Milofsky C. Community Organizations: Studies in Resource Mobilization and Exchange. New York: Oxford University Press; 1988.
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.
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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
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DOI: https://doi.org/10.1007/s11414-006-9046-y