Choice of service provider: how consumer self-determination shaped a psychiatric rehabilitation program

Psychiatric Rehabilitation Journal
Paul J BarreiraPaul B Gold

Abstract

To document the impact of consumer self-selection of service providers on their service receipt and attendance in a psychiatric rehabilitation program. Staff (8 FTE) in a new drop-in resource center tracked their service activities and contacts with consumers using daily service logs. Consumers (N = 46) checked their service needs at enrollment, and recorded their attendance on daily sign-in sheets. Regression analyses were conducted to examine correlations between these service measures and each consumer's count of key providers, with key provider defined as any staff worker with whom the consumer logged the equivalent of more than a full workday of contact (9+ hours) during a 6-month study period. Service log findings suggest that key service providers were chosen by consumers through informal social interactions with staff. Members who had more key providers were more active in the program and more likely to have checked a need for psychiatric care at enrollment. In spite of member choice of provider, caseloads remained small and staff were able to dedicate their time to services related to their specialty training. Facility-based programs can encourage consumer self-selection of service providers without overloading staff o...Continue Reading

References

Sep 1, 1995·The Australian and New Zealand Journal of Psychiatry·S Kent, P Yellowlees
May 1, 1997·Administration and Policy in Mental Health·M S Salzer
Aug 1, 1997·Psychiatric Services : a Journal of the American Psychiatric Association·E S RogersT Crean
Jan 13, 1998·Journal of Health and Social Behavior·T L Scheid, J R Greenley
Jun 22, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·S K Holmberg, C Kane
Jul 14, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·S A Wowra, R McCarter
Nov 5, 1999·Psychiatric Services : a Journal of the American Psychiatric Association
Feb 25, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·R KingD Spooner
Mar 29, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·W S ShawD V Jeste
May 9, 2000·Community Mental Health Journal·R J CalsynG A Morse
Sep 14, 2001·Journal of Personality and Social Psychology·F R Lang, J Heckhausen
Jun 21, 2002·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Terry KrupaBonnie Kirsh
Jul 4, 2002·Psychiatric Services : a Journal of the American Psychiatric Association·Barbara DickeyHocine Azeni
Sep 11, 2002·Social Science & Medicine·Erin J Maher, Amy Kroska
Dec 24, 2002·Health & Social Work·Carol T MowbrayMark C Holter
Feb 1, 2003·Mental Health Services Research·Robert J CalsynMichael L Trusty
Dec 3, 2003·Administration and Policy in Mental Health·Jeffrey A BuckKay Miller
Feb 19, 2004·European Psychiatry : the Journal of the Association of European Psychiatrists·Mona EklundAnita Bengtsson-Tops
Nov 10, 2004·Psychiatric Services : a Journal of the American Psychiatric Association·Danson R JonesCourtenay M Harding
Jan 6, 2005·Journal of Personality and Social Psychology·Wendy Johnson, Robert F Krueger
Aug 4, 2005·Psychiatric Rehabilitation Journal·Ian Chovil
Nov 5, 2005·Psychiatric Rehabilitation Journal·James H ZahniserDaniel Fisher
Nov 18, 2005·Administration and Policy in Mental Health·Page Walker Buck, Leslie B Alexander
Dec 6, 2005·Community Mental Health Journal·Wesley Sowers, UNKNOWN Quality Management Committee of the American Association of Community Psychiatrists
Jan 24, 2006·Community Mental Health Journal·Jared R Adams, Robert E Drake
Feb 2, 2006·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Geoffrey C WilliamsEdward L Deci
Feb 3, 2006·Psychiatric Rehabilitation Journal·Melonie Hopkins, Nadia Ramsundar
Apr 29, 2006·The Journal of Behavioral Health Services & Research·Dushka Crane-RossDee Roth
Nov 2, 2006·Psychiatric Rehabilitation Journal·Barbara J FeltonSam J Tsemberis
Jan 24, 2008·Journal of Psychiatric and Mental Health Nursing·S Bonney, T Stickley
May 1, 2003·Evaluation and Program Planning·Patrick W Corrigan, Mark S Salzer

❮ Previous
Next ❯

Citations

Sep 4, 2009·Administration and Policy in Mental Health·Francesca M Pernice-DucaJennifer Johnson
Sep 4, 2010·The Psychiatric Quarterly·Paul J BarreiraCathaleene Macias
Oct 18, 2014·Issues in Mental Health Nursing·Toby RaeburnMichelle Cleary

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.