Skip to main content
Top
Published in: The Journal of Behavioral Health Services & Research 1/2007

01-01-2007 | Brief Report

Goal Achievement and the Accountability of Consumer-Run Organizations

Authors: Louis D. Brown, PhD, Matthew D. Shepherd, PhD, Scott A. Wituk, PhD, Greg Meissen, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 1/2007

Login to get access

Abstract

This study explores how consumer-run organizations (CROs) can maintain independence while meeting the accountability needs of funding agencies. The importance of both funding agency needs for accountability and CRO needs for independence are discussed. A goal-tracking process is proposed as a potential strategy for balancing the potentially conflicting needs of accountability and independence. To demonstrate the utility of the goal tracking approach, this study analyzes goal tracking documentation in 3 years of quarterly reports from 21 CROs (also known as consumer drop-in centers and self-help agencies). Results detail the different goals of CROs. A 68% goal achievement rate suggests general organizational competence. Furthermore, CRO operations appear to be relatively cost-efficient, with an average of $11.51 spent per person per day. The analysis of quarterly reports leads to a discussion of several insights that may be useful to CROs, funding agencies, researchers, and mental health professionals.
Literature
1.
go back to reference Mowbray CT, Chamberlin P, Jennings M, et al. Consumer-run mental health services: Results from five demonstration projects. Community Mental Health Journal. 1988;24:151–156.PubMedCrossRef Mowbray CT, Chamberlin P, Jennings M, et al. Consumer-run mental health services: Results from five demonstration projects. Community Mental Health Journal. 1988;24:151–156.PubMedCrossRef
2.
go back to reference McLean AH. From ex-patient alternatives to consumer options: Consequences of consumerism for psychiatric consumers and the ex-patient movement. International Journal of Health Services. 2000;30(4):821–847.PubMedCrossRef McLean AH. From ex-patient alternatives to consumer options: Consequences of consumerism for psychiatric consumers and the ex-patient movement. International Journal of Health Services. 2000;30(4):821–847.PubMedCrossRef
3.
go back to reference Chamberlin J. The ex-patients’ movement: where we’ve been and where we’re going. Journal of Mind and Behavior. 1990;11:323–336. Chamberlin J. The ex-patients’ movement: where we’ve been and where we’re going. Journal of Mind and Behavior. 1990;11:323–336.
4.
go back to reference Goldstrom ID, Campbell J, Rogers JA, et al. National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health and Mental Health Services Research. 2006;33:92–103.PubMedCrossRef Goldstrom ID, Campbell J, Rogers JA, et al. National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health and Mental Health Services Research. 2006;33:92–103.PubMedCrossRef
5.
go back to reference Riessman F, Carroll D. Redefining Self-help. San Francisco: Jossey-Bass; 1995. Riessman F, Carroll D. Redefining Self-help. San Francisco: Jossey-Bass; 1995.
6.
go back to reference Estroff SE. Making It Crazy. Berkley: University of California Press; 1981. Estroff SE. Making It Crazy. Berkley: University of California Press; 1981.
7.
go back to reference Trainor J, Shepherd M, Boydell KM, et al. Beyond the service paradigm: the impact and implications of consumer/survivor initiatives. Psychiatric Rehabilitation Journal. 1997;21:132–140. Trainor J, Shepherd M, Boydell KM, et al. Beyond the service paradigm: the impact and implications of consumer/survivor initiatives. Psychiatric Rehabilitation Journal. 1997;21:132–140.
8.
go back to reference Segal SP, Silverman C. Determinants of client outcomes in self-help agencies. Psychiatric Services. 2002;53:304–309.PubMedCrossRef Segal SP, Silverman C. Determinants of client outcomes in self-help agencies. Psychiatric Services. 2002;53:304–309.PubMedCrossRef
9.
go back to reference Mowbray CT, Robinson EA, Holter MC. Consumer drop-in centers: operations, services, and consumer involvement. Health and Social Work. 2002;27:248–261. Mowbray CT, Robinson EA, Holter MC. Consumer drop-in centers: operations, services, and consumer involvement. Health and Social Work. 2002;27:248–261.
10.
go back to reference Nelson G, Lord J, Ochocka J. Shifting the Paradigm in Community Mental Health: Towards Empowerment and Community. Toronto: University of Toronto Press; 2001. Nelson G, Lord J, Ochocka J. Shifting the Paradigm in Community Mental Health: Towards Empowerment and Community. Toronto: University of Toronto Press; 2001.
11.
go back to reference Kasinsky J. Cooptation. In: Zinman S, Harp HT, Budd S, eds. Reaching Across: Mental Health Clients Helping Each Other. Sacramento: California Network of Mental Health Clients; 1987:177–181. Kasinsky J. Cooptation. In: Zinman S, Harp HT, Budd S, eds. Reaching Across: Mental Health Clients Helping Each Other. Sacramento: California Network of Mental Health Clients; 1987:177–181.
12.
go back to reference Holter MC, Mowbray CT, Bellamy CD, et al. Critical ingredients of consumer run services: results of a national survey. Community Mental Health Journal. 2004;40(1):47–63.PubMedCrossRef Holter MC, Mowbray CT, Bellamy CD, et al. Critical ingredients of consumer run services: results of a national survey. Community Mental Health Journal. 2004;40(1):47–63.PubMedCrossRef
13.
go back to reference Segal SP, Silverman C, Temkin T. Empowerment and self-help agency practice for people with mental disabilities. Social Work. 1993;38:705–712.PubMed Segal SP, Silverman C, Temkin T. Empowerment and self-help agency practice for people with mental disabilities. Social Work. 1993;38:705–712.PubMed
14.
go back to reference Maton KI, Salem DA. Organizational characteristics of empowering community settings: a multiple case study approach. American Journal of Community Psychology. 1995;23:631–656.PubMedCrossRef Maton KI, Salem DA. Organizational characteristics of empowering community settings: a multiple case study approach. American Journal of Community Psychology. 1995;23:631–656.PubMedCrossRef
15.
go back to reference Schulz AJ, Israel BA, Zimmerman MA, et al. Empowerment as a multi-level construct: perceived control at the individual, organizational and community levels. Health Education Research. 1995;10:309–327.CrossRef Schulz AJ, Israel BA, Zimmerman MA, et al. Empowerment as a multi-level construct: perceived control at the individual, organizational and community levels. Health Education Research. 1995;10:309–327.CrossRef
16.
go back to reference Zimmerman MA, Rappaport J. Citizen participation, perceived control, and psychological empowerment. American Journal of Community Psychology. 1988;16:725–750.PubMedCrossRef Zimmerman MA, Rappaport J. Citizen participation, perceived control, and psychological empowerment. American Journal of Community Psychology. 1988;16:725–750.PubMedCrossRef
17.
go back to reference Bryson JM. Strategic Planning for Profit and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement. San Francisco: Jossey-Bass; 1995. Bryson JM. Strategic Planning for Profit and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement. San Francisco: Jossey-Bass; 1995.
18.
go back to reference Rodgers R, Hunter JE. Impact of management by objectives on organizational productivity. Journal of Applied Psychology. 1991;76:322–336.CrossRef Rodgers R, Hunter JE. Impact of management by objectives on organizational productivity. Journal of Applied Psychology. 1991;76:322–336.CrossRef
19.
go back to reference Kiresuk TJ, Lund SH. Goal attainment scaling. In: Attkisson CC, Hargreaves WA, Horowitz MJ, Sorensen JE, eds. Evaluation of Human Service Programs. New York: Academic; 1978. Kiresuk TJ, Lund SH. Goal attainment scaling. In: Attkisson CC, Hargreaves WA, Horowitz MJ, Sorensen JE, eds. Evaluation of Human Service Programs. New York: Academic; 1978.
20.
go back to reference Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks: Sage; 1998. Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks: Sage; 1998.
21.
go back to reference Mowbray CT, Tan C. Consumer-operated drop-in centers: evaluation of operations and impact. Journal of Mental Health Administration. 1993;20:8–19.PubMedCrossRef Mowbray CT, Tan C. Consumer-operated drop-in centers: evaluation of operations and impact. Journal of Mental Health Administration. 1993;20:8–19.PubMedCrossRef
22.
go back to reference Meissen GJ, Gleason DF, Embree MG. An assessment of the needs of mutual-help groups. American Journal of Community Psychology. 1991;19:427–442.PubMedCrossRef Meissen GJ, Gleason DF, Embree MG. An assessment of the needs of mutual-help groups. American Journal of Community Psychology. 1991;19:427–442.PubMedCrossRef
23.
go back to reference Smith DH. Grassroots Associations. Thousand Oaks: Sage; 2000. Smith DH. Grassroots Associations. Thousand Oaks: Sage; 2000.
24.
go back to reference Fischer CS. To Dwell Among Friends: Personal Networks in Town and City. Chicago: University of Chicago Press; 1982. Fischer CS. To Dwell Among Friends: Personal Networks in Town and City. Chicago: University of Chicago Press; 1982.
25.
go back to reference Wuthnow R. Sharing the Journey: Support Groups and America’s New Quest for Community. New York: Free Press; 1994. Wuthnow R. Sharing the Journey: Support Groups and America’s New Quest for Community. New York: Free Press; 1994.
26.
go back to reference Milofsky C. Community Organizations: Studies in Resource Mobilization and Exchange. New York: Oxford University Press; 1988. Milofsky C. Community Organizations: Studies in Resource Mobilization and Exchange. New York: Oxford University Press; 1988.
Metadata
Title
Goal Achievement and the Accountability of Consumer-Run Organizations
Authors
Louis D. Brown, PhD
Matthew D. Shepherd, PhD
Scott A. Wituk, PhD
Greg Meissen, PhD
Publication date
01-01-2007
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 1/2007
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-006-9046-y

Other articles of this Issue 1/2007

The Journal of Behavioral Health Services & Research 1/2007 Go to the issue