Many public mental health systems are implementing recommendations from the President's New Freedom Commission17 regarding care for serious mental illness (SMI). That Commission set goals for a system of care that is recovery-oriented, high quality, and maximizes the delivery of evidenced-based practices. One transformative recommendation is to involve consumers in service delivery. One way to realize that goal is the hiring of """"""""Consumer Providers"""""""" (CPs). Like consumer addiction treatment counselors, CPs are individuals with SMI who draw upon their lived experiences to provide services to others with SMI. CPs are not meant to replace traditional treatment, but to augment it. A unique contribution of CPs is their ability to share personal recovery experiences and serve as role models to facilitate the learning of self-management skills, provide hope, engage patients into treatment, help patients connect with others in their communities, and serve as a liaison between patients and providers.80 Randomized controlled trials and quasi-experimental trials have shown that professional teams with CPs can provide services that yield at least equivalent patient outcomes, including improved social functioning and better self-care.81'82 Particular benefits have been noted when CPs work on intensive case management teams.81'82 However, dissemination of CPs has been modest, in part because past efforts have not addressed the barriers of hiring and managing CPs. Barriers include poorly defined CP roles and resistance from traditional providers. A recent study of staff perceptions of hiring CPs found strong concerns that CPs might harm patients, not serve a useful purpose, or relapse themselves due to the stress of their new role, although these concerns have not been borne out by research.82 This proposed study will address such barriers by establishing a 3-year partnership between consumer leaders, mental health patients, providers, managers, and researchers to tailor and evaluate a novel strategy for implementing and managing CPs in a local provider organization.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Center Core Grants (P30)
Project #
5P30MH082760-03
Application #
8117178
Study Section
Special Emphasis Panel (ZMH1)
Project Start
2010-07-01
Project End
2012-06-30
Budget Start
2010-07-01
Budget End
2011-06-30
Support Year
3
Fiscal Year
2010
Total Cost
$61,894
Indirect Cost
Name
University of California Los Angeles
Department
Type
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Choi, Kristen R; Sherbourne, Cathy; Tang, Lingqi et al. (2018) A Comparative Effectiveness Trial of Depression Collaborative Care: Subanalysis of Comorbid Anxiety. West J Nurs Res :193945918800333
Starks, Sarah L; Arns, Paul G; Padwa, Howard et al. (2017) System Transformation Under the California Mental Health Services Act: Implementation of Full-Service Partnerships in L.A. County. Psychiatr Serv 68:587-595
Ong, Michael K; Jones, Loretta; Aoki, Wayne et al. (2017) A Community-Partnered, Participatory, Cluster-Randomized Study of Depression Care Quality Improvement: Three-Year Outcomes. Psychiatr Serv 68:1262-1270
Miranda, Jeanne; Bromley, Elizabeth; Izquierdo, Adriana et al. (2017) Surviving Depression: Clinical Qualitative Analysis of Long-Term Survival for Ethnically Diverse, Depressed Patients. J Nerv Ment Dis 205:589-599
Nadeem, Erum; Waterman, Jill; Foster, Jared et al. (2017) Long-Term Effects of Pre-Placement Risk Factors on Children's Psychological Symptoms and Parenting Stress Among Families Adopting Children From Foster Care. J Emot Behav Disord 25:67-81
Sherbourne, Cathy D; Aoki, Wayne; Belin, Thomas R et al. (2017) Comparative Effectiveness of Two Models of Depression Services Quality Improvement in Health and Community Sectors. Psychiatr Serv 68:1315-1320
Landry, Craig M; Jackson, Aurora P; Tang, Lingqi et al. (2017) The Effects of Collaborative Care Training on Case Managers' Perceived Depression-Related Services Delivery. Psychiatr Serv 68:123-130
Lam, Christine A; Sherbourne, Cathy; Tang, Lingqi et al. (2016) The Impact of Community Engagement on Health, Social, and Utilization Outcomes in Depressed, Impoverished Populations: Secondary Findings from a Randomized Trial. J Am Board Fam Med 29:325-38
Doupnik, Stephanie K; Lawlor, John; Zima, Bonnie T et al. (2016) Mental Health Conditions and Medical and Surgical Hospital Utilization. Pediatrics 138:
Santiago, Catherine DeCarlo; Fuller, Anne K; Lennon, Jaclyn M et al. (2016) Parent perspectives from participating in a family component for CBITS: Acceptability of a culturally informed school-based program. Psychol Trauma 8:325-33

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