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Critical Ingredients of Consumer Run Services: Results of a National Survey

Mark C. Holter, Carol T. Mowbray, Chyrell D. Bellamy, Peter MacFarlane, and Jean Dukarski

Abstract

Fidelity criteria are increasingly used in program monitoring and evaluation, but are difficult to derive for emerging models (i.e., those not based on theory or a research demonstration project). We describe steps used to develop and operationalize fidelity criteria for consumer-run (CR) mental health services: articulating and operationalizing criteria based on published literature, then revising and validating the criteria through expert judgments using a modified Delphi method. Respondents rated highest those structural and process components emphasizing the value of consumerism: consumer control, consumer choices and opportunities for decision-making, voluntary participation (and the absence of coercion), and respect for members by staff.

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Contributed on 6/29/2010

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