ASSESSING CONSUMER-OPERATED SERVICES

评估消费者运营的服务

• 批准号: 6152218
• 负责人: CAROL T MOWBRAY
• 金额: $ 37.81万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6152218
• 关键词: behavioral /social science research tag; clinical research; community mental health services; health care service evaluation; health services research tag; human subject; medical rehabilitation related tag; model design /development; psychosocial rehabilitation; self help organization; social model

DESCRIPTION (Applicant's abstract): Long-term, persistent mental illness is typically associated with poverty and unemployment. Despite advances in MH treatment methods, prospects for full rehabilitation remain poor for most adults with psychiatric disabilities. Consumer-operated services as alternatives or adjuncts to professional treatments have been promoted for potential benefits in engaging and empowering individuals with serious mental illnesses. Effectiveness research, using experimental designs, has yet to be done. Given the heterogeneity of programs labeled "consumer-operated," it is argued that such research will not be useful until a model is fully described, criteria established, and validated methods available to measure fidelity to this treatment model. This R24 application proposes to describe the most common model of consumer-operated services - the drop-in center (CDI), to establish fidelity criteria, and to operationalize and validate them. We will collect data on all the CDIs in Michigan (n=29)- interviewing consumer-users and key informants, collecting qualitative observational measures, and examining records and other documentation. The same data will be collected on structurally comparable programs (clubhouses), matched for geographic location. Through this R24, we will have a rich description of the operation of consumer-operated drop-in centers, as well as of clubhouses, utilizing criteria from the literature and consumer experts. We will analyze how the CDIs differ from clubhouses, according to a large number of users of these settings. The R24 will produce fidelity criteria, certified by a group of consumer experts and validated through reports of consumers using the services - in terms of levels reported and discriminant validity. Furthermore, we will operationalize these criteria through more readily available data (records, documents, and key informants) so that future research on CDIs can establish fidelity with less resource-intensive methods than interviewing center users. As we are completing this R24, we will design a multisite (R01) effectiveness study of consumer-operated drop-ins, using an experimental design. The fidelity measure from this R24 and the program manual produced will be integral to the R01, providing a consistent quality assessment of the model being delivered, as well as process measures for use as moderating variables to interpret differential intermediate and long-term behavioral outcomes for CDI users. A preliminary conceptual model for the future effectiveness study is presented. Initiating this research through the UM Center for Research on Poverty, Risk and Mental Health will enable an established investigator (Mowbray) to work with new faculty (Holter) and senior faculty (Garvin), and to involve other young investigators (post-doc and doctoral students) on a mental health services research topic that will serve as the basis for further significant studies on consumerism and recovery. These studies of consumer-operated services will benefit from the expertise of our colleagues at the poverty center ways to measure human capital. The R24 will enable us to develop relationships with consumer groups and consumer researchers around the country, colleagues in psychiatry and other related areas at UM, and other national sites undertaking MH services research.

描述(申请人摘要)：长期、持续性精神疾病是 通常与贫困和失业有关。尽管MH取得了进展 治疗方法，完全康复的前景对大多数人来说仍然很差 有精神残疾的成年人。消费者运营的服务作为 专业治疗的替代品或辅助治疗已推广到 与有严重精神障碍的个人接触并赋予其权力的潜在好处 疾病。使用实验设计的有效性研究还有待于 搞定了。考虑到被贴上“消费者运营”标签的程序的异质性，它是 认为在完全描述模型之前，这样的研究是没有用的， 建立标准，并提供有效的方法来衡量保真度 这种治疗模式。这个R24应用程序建议描述最常见的 消费者运营的服务模式--投放中心(CDI)，以建立 忠诚度标准，并将其付诸实施和验证。我们会收集 关于密歇根州所有CDI的数据(n=29)--访问消费者--用户和密钥 告密者，收集定性观察指标，并检查 记录和其他文档。同样的数据将在以下地点收集 结构类似的项目(会所)，与地理位置相匹配。 通过此次R24，我们将对其运行情况有一个丰富的描述 消费者运营的代购中心以及会所，利用标准 来自文献和消费者专家。我们将分析CDI有何不同 来自会所的大量用户根据这些设置进行设置。这个 R24将产生由一组消费者专家认证的保真度标准 并通过消费者使用服务的报告进行验证-在以下方面 报告水平和区分效度。此外，我们还将实施 这些标准通过更容易获得的数据(记录、文档和密钥 告密者)，以便今后对CDI的研究能够以更少的成本建立保真度 比采访中心用户更耗费资源的方法。因为我们正在完成 在R24，我们将设计一项多站点(R01)有效性研究 消费者运营的临时服务，使用的是试验性设计。忠诚度衡量标准 该R24和程序手册将成为R01不可或缺的一部分， 还为交付的模型提供一致的质量评估 作为过程措施，用作调节变量来解释差异 CDI使用者的中长期行为结果。初赛 提出了未来效能研究的概念模型。正在启动 这项研究通过密歇根大学贫困、风险和心理研究中心进行 健康将使一名老牌调查员(莫布雷)能够与新的 教员(霍尔特)和高级教员(加尔文)，并让其他年轻人参与进来 研究人员(博士后和博士后)对心理健康服务的看法 将作为进一步重大研究的基础的研究课题 消费主义和复苏。这些对消费者运营的服务的研究将 受益于我们贫困中心同事的专业知识 衡量人力资本。R24将使我们能够发展与 全国各地的消费者团体和消费者研究人员， UM的精神病学和其他相关领域，以及其他国家网站进行的 MH服务研究。