Self-stigma and empowerment in combined-CMHA and consumer-run services: two controlled trials.

Objective: Self-help agencies (SHAs) are consumer-operated service organizations managed as participatory democracies involving members in all management tasks. Hierarchically organized board- and staff-run consumer-operated service programs (BSR-COSPs) are consumer managed, but they afford members less decision-making power. This study considered the relative effectiveness of SHAs and BSR-COSPs working jointly with community mental health agencies (CMHAs) and the role of organizational empowerment in reducing self-stigma.

Outcomes from consumer-operated and community mental health services: a randomized controlled trial.

Objective: Hierarchically organized board-and-staff-run consumer-operated service programs (COSPs) are viewed as organizations that promote recovery while working in concert with community mental health agencies (CMHAs). This study's objective was to determine the effectiveness of such combined services for people with serious mental illness.

Methods: A board-and-staff-run consumer-operated drop-in center and colocated CMHA provided the context for the randomized clinical trial.

Self-help and community mental health agency outcomes: a recovery-focused randomized controlled trial.

Objective: Self-help agencies (SHAs) are consumer-operated service organizations managed as participatory democracies. Members are involved in all aspects of organizational management, because a premise of SHAs is that organizationally empowered individuals become more empowered in their own lives, which promotes recovery. The study sought to determine the effectiveness of combined SHA and community mental health agency (CMHA) services in assisting recovery for persons with serious mental illness.

When the Neighbors Complain: Correlates of Neighborhood Opposition to Sheltered Care Facilities.

Neighborhood resistance to unwanted land uses is a much heralded but insufficiently investigated feature of recent decades. This paper investigates local opposition to sheltered care for a people with mental disabilities. Using data gathered in a 12 year follow-up of a probability sample of sheltered care facilities in California, the study looks at changes over time in local opposition and at correlates of local reaction.

Who Belongs?: An Analysis of Ex-Mental Patients' Subjective Involvement in the Neighborhood.

What causes people with psychiatric disabilities to feel they belong in their neighborhood? This article examines predictors of belonging for a sample of former psychiatric patients in community settings. The authors consider what differentiates ex-patients who feel they belong in their neighborhoods from those who do not. For the sample as a whole, belonging primarily results from satisfaction with the dwelling.

The Survival of Sheltered Care Homes: Facility and Neighborhood Contributions.

We use data from a representative probability sample of all 1973 California Sheltered Care facilities for ex-mental patients. Facilities were recontacted between 1983 and 1985. Based on several literatures, we hypothesized variables that might contribute to facility survival over this period including: neighborhood factors such as community reaction and gentrification and organizational and institutional characteristics such as profit motivation and legitimacy.