Center on Mental Health Services Research and Policy
University of Illinois at Chicago
Department of Psychiatry

UIC National Research and Training Center Webcast Series

/Grading the Evidence for Consumer-Driven Services

This webcast describes the evidence base for consumer-operated, delivered, and centered services, where people in recovery control the kinds of help they get, from whom, and in what settings. The evidence grading pyramid is presented along with the specific levels of evidence for models such as recovery self-management, drop-in centers, advance directives, and self-directed care. A special focus is on the results of the national multi-site research study of consumer-operated service programs or COSP, directed by people in recovery, and funded by CMHS.

Presentation I: Judith Cook, Ph.D.

In this presentation, the evidence base for consumer-operated, consumer-centered, and consumer-delivered services is described and classified using evidence grading criteria. Research on a number of these models is discussed including recovery self-management, self-directed care, seclusion and restraint reduction, and advance directives. The concept of patient-centered medical care in the Institute of Medicine's 2001 Crossing the Quality Chasm report is presented and compared to the concept of consumer-centered mental health care.

Presentation II: Jean Campbell, Ph.D.

This presentation discusses findings from the COSP (Consumer-Operated Service Program) Multisite study. This study examines the effectiveness of consumer-operated programs and their role in improving outcomes for adults with serious mental illness. Dr. Campbell presents the findings from the study and highlights specific program features associated with improved outcomes.

 

Presentation III: Lisa Razzano, Ph.D.

In this presentation, Dr. Razzano outlines the current level of evidence for consumer-operated and directed services, and the extent to which these types of programs have been integrated into the existing array of mental health services. She offers a series of recommendations that will promote the future growth and expansion of consumer-directed services.

 

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Download Resources

Presentation I: Judith Cook, Ph.D.

Presentation II: Jean Campbell, Ph.D.

Presentation III: Lisa Razzano, Ph.D.

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