TY - JOUR
T1 - Consumer-Providers in Assertive Community Treatment Programs: Associations With Client Outcomes
AU - van Vugt, Maaike D.
AU - Kroon, Hans
AU - Delespaul, Philippe A. E. G.
AU - Mulder, Cornelis L.
PY - 2012/5
Y1 - 2012/5
N2 - Objective: This study examined whether employing mental health consumers as consumer-providers in assertive community treatment teams can enhance outcomes for clients with severe mental illness. Methods: In a prospective longitudinal study, presence of consumer-providers and outcomes of 530 clients with severe mental illness in 20 outpatient teams were assessed at baseline and at one-year and two-year follow-ups. Measures included the Health of the Nation Outcome Scales (HoNOS), the Camberwell Assessment of Need Short Assessment Schedule (CANSAS), the Working Alliance Scale, the number of hospital days, and the number of days of homelessness. Multilevel regression was used with the independent variables consumer-provider presence, time of measurement, and their interaction. Results: A positive association was found between consumer-provider presence and improvements in functioning on the HoNOS (p=.020), met needs in relation to personal recovery (p=.044), unmet needs in relation to personal recovery (p=.008), and number of homeless days (p
AB - Objective: This study examined whether employing mental health consumers as consumer-providers in assertive community treatment teams can enhance outcomes for clients with severe mental illness. Methods: In a prospective longitudinal study, presence of consumer-providers and outcomes of 530 clients with severe mental illness in 20 outpatient teams were assessed at baseline and at one-year and two-year follow-ups. Measures included the Health of the Nation Outcome Scales (HoNOS), the Camberwell Assessment of Need Short Assessment Schedule (CANSAS), the Working Alliance Scale, the number of hospital days, and the number of days of homelessness. Multilevel regression was used with the independent variables consumer-provider presence, time of measurement, and their interaction. Results: A positive association was found between consumer-provider presence and improvements in functioning on the HoNOS (p=.020), met needs in relation to personal recovery (p=.044), unmet needs in relation to personal recovery (p=.008), and number of homeless days (p
U2 - 10.1176/appi.ps.201000549
DO - 10.1176/appi.ps.201000549
M3 - Article
C2 - 22388475
SN - 1075-2730
VL - 63
SP - 477
EP - 481
JO - Psychiatric Services
JF - Psychiatric Services
IS - 5
ER -