Experts' assessment of psychosocial rehabilitation principles.

Cnaan, Ram A.; Blankertz, Laura; Messinger, Karlyn W.; Gardner, Jerome R.

doi:10.1037/h0099488

Cited by 59 publications

(27 citation statements)

References 9 publications

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“…The significance of empowerment as a program principle and client outcome has gained recognition in a variety of community-based mental health agencies (Berman-Rossi & Cohen, 1989;Cohen, 1989;McCarthy & Nelson, 1991;Runyan & Faria, 1992;Rosenfield & Neese-Todd, 1993). In particular, its underlying dimensions reflect the practice principles of client self-determination, client participation in agency management, resource and skills development, and environmental change that inform psychosocial rehabilitation programs (Anthony, Cohen, & Farkas, 1982;Cnaan et al, 1988Cnaan et al, , 1990Cohen, Anthony, & Farkas, 1991). The empowerment instruments provide in their item content a measure of the personal selfdetermination that consumers (and clients of community mental health organizations) may achieve and the organizational and community activities in which they may become involved.…”

Section: Resultsmentioning

confidence: 99%

Measuring empowerment in client-run self-help agencies

Segal¹,

Silverman²,

Temkin³

1995

Community Ment Health J

172

125

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'~Empowerment" connotes a process of gaining control over one's life and influencing the organizational and societal structures in which one lives. This study defines and validates three measures: the Personal Empowerment Scale, the Organizational Empowerment Scale, and the Extra-Organizational Empowerment Scale.Measurement efforts are based on observational work, baseline inter~iews (N = 310), and six month follow-ups (N = 241) in four client-run self-help agencies (SHAs) for persons with severe mental disabilities. All three study scales demonstrated strong internal consistency and stability. They were sensitive to user changes over time and have construct validity. 1 INTROD UCTION"Empowerment" is a developing but inconsistently-defined concept. In general, it connotes a process by which individuals with lesser power gain control over their lives and influence the organizational and societal structures within which they live. A growing segment of research has focused on the meaning and process of empowerment among per-

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Section: Resultsmentioning

confidence: 99%

Measuring empowerment in client-run self-help agencies

Segal¹,

Silverman²,

Temkin³

1995

Community Ment Health J

172

125

View full text Add to dashboard Cite

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“…Although not explicitly identified as a core principle of psychiatric rehabilitation [19], readiness is fundamental to the practice of gradualism that has been the dominant treatment paradigm of psychiatric rehabilitation up until recently [6,8]. The gradualism paradigm presumes that an individual must be prepared or readied to enter competitive workplaces, independent housing, or mainstream community settings.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation readiness: A construct validity study of the University of Rhode Island Change Assessment for Vocational Counseling (URICA-VC) scale for persons with mental illness

Gervey

2010

Journal of Vocational Rehabilitation

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Purpose/objectives: The study aims to confirm the factorial structure of the URICA-Vocational Counseling (URICA-VC), a scale that has been specifically designed for use in vocational rehabilitation programs. Furthermore, the study explores the clinical utility of the URICA-VC readiness construct within a sample of individuals with psychiatric disabilities seeking competitive employment. Research method/design: Using a sample of 296 individuals with psychiatric disabilities pooled from three separate programs, the author examined the construct validity of the scale using factorial structural analysis, discriminative validity and predictive validity tests. Results: The results confirm the URICA-VC three-factor solution. These three factors discriminate between individuals with varying levels of interest and involvement in vocational rehabilitation services. However, predictive validity is mixed. Conclusion/implications: The use of the URICA-VC for clinical decision-making and research purposes should be carefully considered given the degree of false negatives and positives generated by stage of change categories.

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“…However, researchers are only beginning to look at how these programs achieve these results. Efforts so far have focused on describing service delivery (Brekke, 1987(Brekke, , 1988Brekke & Test, 1987, 1992Hargreaves, Shumway, & Hu, 1996;Scheirer & Rezmovic, 1983), or on obtaining staff perceptions of program elements, either about psychosocial rehabilitation in the abstract (Cnaan, Blankertz, Messinger, & Gardner, 1990) or for a variety of actual community-based programs (Jerrell & Hargreaves, 1991). No similar measures have yet been published to assess consumer views of the same activities, or of other ways in which daily life in programs is felt or perceived by consumers.…”

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confidence: 99%

The Program Environment Scale: Assessing Client Perceptions of Community‐Based Programs for the Severely Mentally Ill

Burt

Duke

Hargreaves

1998

American J of Comm Psychol

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The Program Environment Scale (PES) was developed for use with clients of community-based programs for the severely mentally ill. It is intended to fill the gap in available tools for assessing clients' perceptions of program functioning as it affects their "quality of life" in a program. Formal pretests were conducted with 121 clients at 12 randomly selected programs near Washington, DC. The final field test used a revised form (29 domains; 129 items) with 221 clients in 22 programs selected randomly throughout the U.S., including Clubhouse, day treatment, psychosocial rehabilitation, and social club programs. Twenty-three subscales met at least five of eight psychometric criteria for internal consistency and discriminant validity. A 24th subscale was retained because of its substantive importance. Successful subscales cover program atmosphere and interactions (program cares about me, energy level, friendliness, openness, staff-client and client-client respect, reasonable rules, availability of positive physical contact, protection from bad touch, staff investment in their jobs, and confidentiality), client empowerment/staff-client equality (program and treatment empowerment, egalitarian space use), and service components (support for paid work, work importance, emergency access, family activities, housing, public benefits, community activities, medications, substance abuse, and continuity). Subscale validity is indicated by associations of specific service offerings with scores on scales measuring client perceptions of those services, and by an ability to differentiate among program models (i.e., Clubhouses, day treatment programs, and psychosocial rehabilitation programs look different from each other). Subscale scores were not influenced by client characteristics (gender, race, age, diagnosis, number of hospitalizations, length of time in program). The final scale has 97 items and takes about 25 minutes to complete. The PES succeeds in measuring different aspects of programs as clients perceive them. In the programs we visited, directors felt the PES covers the important things they want to know about how clients perceive their program. The PES should become a useful tool both for researchers interested in how client responses to programs may influence their therapeutic outcomes, and for practitioners interested in improving their clients' program experiences and/or increasing convergence of staff and client views of their program.

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Experts' assessment of psychosocial rehabilitation principles.

Cited by 59 publications

References 9 publications

Measuring empowerment in client-run self-help agencies

Measuring empowerment in client-run self-help agencies

Rehabilitation readiness: A construct validity study of the University of Rhode Island Change Assessment for Vocational Counseling (URICA-VC) scale for persons with mental illness

The Program Environment Scale: Assessing Client Perceptions of Community‐Based Programs for the Severely Mentally Ill

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