title: Beneficence vs. obligation: challenges of the Americans with Disabilities Act for consumer employment in mental health services.
abstract: Involvement of mental health service consumers in the provision of mental health services is a growing model in community mental health. It is, however, a complicated issue, made ever more so by the passage of the Americans with Disabilities Act. In this ethnographic case study, we seek to explore the changes one social services agency has made to adjust to the requirements of the ADA and the impact of these changes on their consumer employees. Our results indicate potential for positive progress as a result of the ADA, but also unexpected pitfalls as organizational cultures change as well.
authors.affiliation: School of Social Welfare, Health Sciences Center, SUNY, Stony Brook 11794-8231, USA. Linda.Francis@sunysb.edu
authors.forename: Linda E
authors.initials: LE
authors.lastname: Francis
authors.forename: Paul W
authors.initials: PW
authors.lastname: Colson
authors.forename: Pamela
authors.initials: P
authors.lastname: Mizzi
mesh_terms: D000884:Anthropology, Cultural; D001291:Attitude of Health Personnel / Q000208:ethnology*; D026686:Beneficence; D003156:Community Mental Health Services / Q000592:standards; D003256:Community Participation / Q000523:psychology*; D016832:Employment, Supported / Q000331:legislation & jurisprudence*; D004991:Ethics, Institutional; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D028642:Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D017146:Models, Organizational; D028681:Moral Obligations; D009518:New York; D015279:Organizational Culture; D015397:Program Evaluation; D012941:Social Responsibility; D000078329:Workforce