Abstract
Involvement of mental health service consumers in the provision of mental health services is a growing model in community mental health. It is, however, a complicated issue, made ever more so by the passage of the Americans with Disabilities Act. In this ethnographic case study, we seek to explore the changes one social services agency has made to adjust to the requirements of the ADA and the impact of these changes on their consumer employees. Our results indicate potential for positive progress as a result of the ADA, but also unexpected pitfalls as organizational cultures change as well.
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REFERENCES
Abramovitz, Mimi. (1996). Regulating the Lives of Women: Social Welfare Policy from Colonial Times to the Present. Boston: South End Press.
Americans with Disabilities Act of 1990, P.L. 101–336.
Colson P., El-Sadr W., Hirsch-Moverman Y., Thomas G., Gee V. The Role of Peer Workers in Enhancing Adherence to LTBI Treatment.International Union Against TB and Lung Disease— North American Region, Vancouver, CA. February 2000.
Colson P., Francis L., Mizzi P. Beneficence Versus Empowerment: Challenges for Consumer Employment in Mental Health Services. American Sociological Association Annual Meeting, Chicago IL. August 1999.
Cook, Judith A., Jonikas, Jessica A., and Razzano, Lisa A. (1995). Randomized Evaluation of Consumer Versus Non-consumer Training of State Mental Health Service Providers. Community Mental Health Journal, 31(3): 230.
Dixon L., Krauss, N., and Lehman, A. (1994) Consumers as Service Providers: The Promise and the Challenge. Community Mental Health Journal, 30(6): 615–625.
Estroff, S. E. (1981). Making It Crazy: An Ethnography of Psychiatric Clients in an American Community. Berkeley: University of California Press.
Francis, L. E. (2000). Conflicting Bureaucracies, Conflicted Work: Dilemmas in Case Management for Homeless People with Severe Mental Illness. Journal of Sociology and Social Welfare, XXVII(2): 97–112.
Francis L., Colson P., Mizzi P. Persons with Severe Mental Illness as Employees in a Community Mental Health Agency: an Exploratory Study. Society for Social Work and Research, Charleston, SC. January 2000.
Granger, B. (2000). The Role of Psychiatric Rehabilitation Practitioners in Assisting People in Understanding How to Best Assert Their ADA Rights and Arrange Job Accommodations. Psychiatric Rehabilitation Journal, 23(3):215–222.
Interagency Council on the Homeless (1992). Outcasts on Main Street: Report of the Federal Task Force on Homelessness and Severe Mental Illness. National Institute of Mental Health/Alcohol, Drug Abuse and Mental Health Administration, Department of Health and Human Services. Washington, D.C.: U.S. Government Printing Office.
Lehman, A. F. (1993). Introduction. Pp. i–xi in Working for a Change: Employment of Consumers/ Survivors in the Design and Provision of Services for Persons Who are Homeless and Mentally Disabled. Center for Mental Health Services, DHHS: Baltimore, MD.
Manning, S. and Suire, B. (1996). Consumers as Employees in Mental Health: Bridges and Roadblocks. Psychiatric Services, 47(9): 939–941.
McCabe, S. and Unzicker, R. (1995). Changing Roles of Consumer/Survivors in Mature Mental Health Systems. Pp. 67–75 in New Directions for Mental Health Services, No. 66, Summer. San Francisco: Jossey-Bass.
Mowbray, C. (1997). Benefits and Issues Created by Consumer Role Innovation in Psychiatric Rehabilitation. In Mowbray, C., Moxley, D., Jasper, C., and Howell, L. (Eds.), Consumers as Providers in Psychiatric Rehabilitation (pp. 45–63). Columbia, MD: International Association of Psychosocial Rehabilitation Services.
Mowbray, C. and Moxley, D. (1997). A Framework for Organizing Consumer Roles as Providers of Psychiatric Rehabilitation. In Mowbray, C., Moxley, D., Jasper, C., and Howell, L.(Eds.), Consumers as Providers in Psychiatric Rehabilitation (pp. 35–44). Columbia, MD: International Association of Psychosocial Rehabilitation Services.
Mowbray, C., Moxley, D., Thrasher, S., Bybee, D, McCrohan, N., Harris, S., and Clover, G. (1996). Consumers as Community Support Providers: Issues Created by Role Innovation. Community Mental Health Journal, Vol. 32: 47–67.
ResearchWare, Inc. (2000). HyperRESEARCH, Version 2.0. Randolph, Massachusetts. Online at http://www.researchware.com.
Riffer, N. W. (2000). Working Responsibly with Employees with a Psychiatric Disability. Psychiatric Rehabilitation Journal, 23(3):281–284.
Rogers, E.S., Chamberlin, J., Ellison, M., and Crean, T. (1997). A Consumer-Constructed Scale to Measure Empowerment Among Users of Mental Health Services. Psychiatric Services, 48(8): pp. 1046–1054.
Salzer, M. (1997). Consumer Empowerment in Mental Health Organizations: Concept, Benefits, and Impediments. Administration and Policy in Mental Health. 24(5), May: 427–428.
Segal, S., Silverman, C., and Temkin, T. (1993). Empowerment and Self-help Agency Practice for People with Mental Disabilities. Social Work, 38(6): 705–715.
Stephens, C. L., Belisle, K. C. (1993). The ‘Consumer-as-Provider’ Initiative. Journal of Mental Health Administration, 20(4) 233–240.
Trochim W., Dumont, J. and Campbell, J. (1993). Mapping Mental Health Outcomes from the Perspective of Consumer/Survivors. National Association of State Mental Health Program Directors Research Institute, Inc., Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Baltimore, MD.
Van Tosh, L. (1993). Working for a Change: Employment of Consumers/ Survivors in the Design and Provision of Services for Persons Who are Homeless and Mentally Disabled. Center for Mental Health Services, DHHS: Baltimore, MD, pp. 10–12.
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Francis, L.E., Colson, P.W. & Mizzi, P. Beneficence vs. Obligation: Challenges of the Americans with Disabilities Act for Consumer Employment in Mental Health Services. Community Ment Health J 38, 95–110 (2002). https://doi.org/10.1023/A:1014559519492
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DOI: https://doi.org/10.1023/A:1014559519492