Consumer-Run Mental Health
Framework for Recovery
Louis D. Brown
Conceived of as an empowering alternative to inpatient treatment and traditional community
programs, mental health consumer-run organizations--CROs--offer consumers a hands-on stake in their own recovery. A growing evidence base suggests that CROs are a particularly effective form of self-help, with randomized trials demonstrating CRO participants experience improvements in personal empowerment, social integration, and well-being. Consumer-Run Mental Health explains their methods and analyzes their efficacy.
A robust theoretical framework synthesizes diverse perspectives to illuminate behavioral processes that contribute to recovery and the dynamics of CROs in creating environments that promote recovery. Data from the author's studies of CRO participation highlight consumer perceptions of the benefits of their involvement. An in-depth ethnographic study examines participant s lives inside and outside the organization. And in a set of remarkable narratives, consumers describe dealing with both mental illness and the tasks of running a non-profit organization, for a fuller understanding of the impact of CRO participation on their lives.
By emphasizing consumer roles within the organization, the book breaks down the mental health CRO experience into these vital topics:
· Person-environment interaction within CROs.
· Developing empowering and socially supportive roles
· Resource exchange, skill development, and identity transformation
· Life history narratives: the lived experience of CRO participation.
· How organizations influence role development.
· The impact of role development on recovery.
· Implications for practice.
Opening up about rarely-addressed concepts of self-help, Consumer-Run Mental Health is a unique reference for researchers who study peer-run organizations as well as practitioners in community mental health settings who are involved in collaborating with or supporting CROs.
Chapter 1 - Introduction.- Defining Qualities of CROs.- History of CROs and Mental Health Care.- Research on the Effectiveness of CROs.- Organizational Dynamics.- Overview of the Book.- Chapter 2 - Using existing theory to build a conceptual framework of consumer-run organizations.- Part 1: Conceptualization of CRO Outcomes.- Part 2: Setting Characteristic Theories.- Part 3: Interpersonal Processes Within CROs.- Part 4: Roles and Identity Theory.- Part 5: The Preliminary Framework.- Chapter 3 - Refining the preliminary framework to create the role framework.- Focused Questions Methodology.- Categories and Causes of Personal Change.- Integrating Categories to Create the Role Framework.- Discussion.- Chapter 4 - Constructing journalistic life history narratives to explore the role of framework.-Conceptual and Epistemological Foundations of Narrative.- Narratives as a Research Methodology.- Integrating Journalism and Ethnographic Research.- Visual Storytelling.- Study Setting - The P.S. Club.- Study Sample.- Participant Observation.- Minimally Structured Interviews.- Life History Construction.- Analysis of Narratives.- Sharing Narratives.- Conclusion.- Chapter 5 - Life history narratives from the P.S. Club.- Life Inside Wellington's Mental Health System.- Facing Serious Mental Illness, Running a Nonprofit.- Chapter 6 - Using narratives to understand how people benefit from CROs.- Summary Cross-Case Analysis of Life History Narratives.- Limitations and Future Research.- Conclusion.- Chapter 7 - How Organizations Influence Role Development.- Organizational Size.- Leadership Involvement.- Recovery.- Study Hypotheses.- Method.- Results.- Discussion.- Chapter 8 - Role development and recovery.- Role Development and Recovery.- Relating Friendship and Leadership Roles.- Study Overview and Hypotheses.- Method.- Results.- Interpretation of Results.- Promoting an Empowering Environment.- Promoting a Socially Supportive Environment.- Comparing Friendship and Leadership Roles.- Limitations and Future Research.- Conclusions.- General Insights Into the Recovery Process.- Summary Implications for Practice.- Strengths and Weaknesses of the Methods.- Future Research Directions.- Closing Remarks.
From the reviews:
"The aim of this book is to provide an introduction to CROs in mental health, review the scholarly evidence for their benefit and cost-effectiveness, and provide an insider's perspective on mental health and the process of recovery within these organizations by those who are consumers and members of them. The author identifies a wide audience, ranging from researchers of consumer-run organizations to students of psychiatry to mental health consumers. ... book ends with suggestions for research directions and includes a self-help questionnaire in the appendix." (Christopher J. Graver, Doody's Review Service, March, 2012)
"In Consumer-Run Mental Health: Framework for Recovery, Louis Brown provides a theoretical framework for consumer-run organizations (CROs) and a research model for studying consumer-driven organizations. Those who study CROs and mental health recovery will find the text to be thoughtful, well organized, and informative. Graduate students learning about psychopathology will gain a deeper and more informed understanding of mental illness and of the social impact of living with a chronic mental health condition." (Lisa Fitzgibbons, PsycCRITIQUES, Vol. 57 (43), October, 2012)
Über den Autor
Louis D. Brown, Ph.D. is an assistant professor at The University of Texas, School of Public Health in El Paso. He has published numerous articles and book chapters on the subject. Further, he edited a special issue for the American Journal of Community Psychology and a book for Springer on the larger field of mental health self-help. His research in this area has received numerous awards and he chairs the largest group of self-help researchers internationally.
Consumer-run organizations and other types of mental health self-help are becoming increasingly popular in the public mental health system. These initiatives now outnumber traditional mental health organizations in the US (Goldstrom et al., 2006). This growth is due in large part to their low cost, devoted supporters, burgeoning evidence base, and increased acceptance by mental health professionals. International interest in these initiatives is also growing as self-help is flourishing in industrialized countries worldwide. I recently edited a special issue on mental health self-help for the American Journal of Community Psychology and we received submissions from five continents, with exciting work coming out of China, Australia, and Europe.
The proposed book develops a rich theoretical model called the Role Framework, which explains how people engage in and benefit from mental health consumer-run organizations (CROs).
Presents new multi-faceted model
Focuses on how people benefit from CROs
Contains illustrative stories throughout
Offers both research reviews and theory development