Who shall hold the conch? some thoughts on community control of mental health programs

Darley, P.J.

doi:10.1007/bf01410898

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…The terms powerless, isolated, supplicant, one-down, no-hope-inlife as descriptions of mental health patients have appeared repeatedly in the literature (Darley, 1974 Ryan, 1971).…”

Section: Methods Of Matchingmentioning

confidence: 99%

The effect of client choice of therapist on therapy outcome

Manthei

Vitalo²,

Ivey

1982

Community Ment Health J

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This study compared the therapeutic progress of three randomly assigned groups (n = 14 in each group) of community mental health center clients: (a) clients who viewed a slide/sound presentation about all available therapists and chose their own therapist; (b) clients who viewed the presentation and were assigned to a therapist by the center's clinical director; (c) clients who were assigned to a therapist by the clinical director without seeing the presentation. There were no significant differences among the three groups in their initial reaction to the clinic, number of therapy sessions, type of termination, severity of presenting problems, General Well-Being Schedule scores, Current Adjustment Rating Scale scores, or therapist's satisfaction with therapy. Further analysis revealed that three out of four clients had improved significantly as a result of therapy. It was concluded that in the absence of research evidence demonstrating the efficacy of client choice on therapy outcome, support for the notion of client choice must be based solely on social, ethical, and legal considerations.

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“…The terms powerless, isolated, supplicant, one-down, no-hope-inlife as descriptions of mental health patients have appeared repeatedly in the literature (Darley, 1974 Ryan, 1971).…”

Section: Methods Of Matchingmentioning

confidence: 99%

The effect of client choice of therapist on therapy outcome

Manthei

Vitalo²,

Ivey

1982

Community Ment Health J

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“…Although the basic philosophy of the therapeutic community (Daniels & Rubin, 1968) would at times appear similar to that of the client advisory board, the clients in a therapeutic community actually have no clearly defined power to evaluate a facility's services. And, even though some (e.g., Darley, 1974) have advocated that the clients in therapeutic communities be given more governing power, to date this has not been realized. Furthermore, no one has reported a therapeutic community which actually encourages clients to systematically evaluate the programs and services of that community.…”

Section: The Client As Evaluator Of Mental Health Servicesmentioning

confidence: 99%

“…), as well as attitudes of independence (Morrison & Yablonovitz,Note 8). It is possible that participation in the governing power of a clinic (e.g., by means of being able to evaluate and recommend changes) induces clients to feel less helpless and powerless (Darley, 1974) and have more control over their destiny (Morrison, 1976b). It is likely that such a positive experience can be understood in terms of clients learning to make more positive attributions to themselves, and to thus see less need for dependence on psychiatric services.…”

Section: The Consumer As Agent Of Changementioning

confidence: 99%

The client as consumer and evaluator of community mental health services

Morrison

1978

American J of Comm Psychol

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Discussion of ethical issues which concern community psychologists and other mental health professionals has generated new emphasis on the psychiatric client as consumer. In light of the studies questioning the efficacy and ethics of various clinical procedures, it would seem that the client-consumer is being asked to accept treatment which is often less than desirable. In light of recent trends to safeguard the rights of the client-consumer, it is now appropriate to focus on the client as evaluator of services contracted. Having clients evaluate clinical services finds its logical fruition in the creation of client advisory boards. Avoiding many of the problems of citizen mental health advisory boards, client boards ensure continued and systematic client evaluation of community mental health services. The accomplishments of one client board are offered as evidence that there should be increased emphasis on the consumer as evaluator.

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“…The study emerged from the current emphasis on the psychiatric client as both consumer and evaluator of services received (Darley, 1974;Denner & Halprin, 1974;Hart & Bassett, 1975;Morrison, 1976; Morrison, in press-a; Morrison, in press-b) .…”

mentioning

confidence: 99%

“…This study of discharged psychiatric clients focused on three relatively unresearched areas in community mental health: (1) the correspondence of staffclient evaluations of discharge readiness; (2) the frequency with which clients seek alternate psychiatric services subsequent to discharge; and (3) the perceived effect of nontreatment therapeutic events (e.g., falling in love, finding a job) on client problem resolution. The study emerged from the current emphasis on the psychiatric client as both consumer and evaluator of services received (Darley, 1974; Denner & Halprin, 1974;Hart & Bassett, 1975;Morrison, 1976; Morrison, in press-a; Morrison, in press-b) .…”

mentioning

confidence: 99%

Correspondence of staff-client evaluations of discharge readiness and nontreatment therapeutic events

Morrison

Pitchford

Dovberg

et al. 1977

J. Community Psychol.

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A follow‐up telephone survey of clients discharged from a community mental health clinic indicated a high degree of agreement between contacted clients and their clinician‐advisors concerning the readiness of clients for discharge, the number and effect of nontreatment therapeutic events, and the frequency with which clients seek alternate psychiatric services after discharge. Contacted and noncontacted groups were similar, except that the latter group included significantly more clients who had initiated termination against staff advice. It was recommended that future discharge studies concentrate more on contacting the difficult‐to‐reach clients in order to obtain a more accurate impression of a clinic's treatment effectiveness.

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Who shall hold the conch? some thoughts on community control of mental health programs

Cited by 8 publications

References 2 publications

The effect of client choice of therapist on therapy outcome

The effect of client choice of therapist on therapy outcome

The client as consumer and evaluator of community mental health services

Correspondence of staff-client evaluations of discharge readiness and nontreatment therapeutic events

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