title: Consumer and case manager perspectives of service empowerment: relationship to mental health recovery.
abstract: This study examines the relationship between service empowerment and recovery. Service empowerment is defined as the extent to which consumers participate in service decisions and the level of reciprocity and respect within the relationship with their case managers. Assessments were made from two perspectives: consumers and their case managers. Structural equation models were developed to examine the direct and indirect effects of service empowerment on four recovery outcomes: Quality of Life, Level of Functioning, Consumer-Reported Symptomatology, and Case Manager-Reported Symptomatology. Consumers' perceptions of service empowerment were the most powerful predictor of recovery outcomes across the four models. Consumers' and case managers' perceptions were related but the magnitude of the relationship was small, indicating that considerable differences exist between their perceptions of service empowerment.
authors.affiliation: Office of the Medical Director, Ohio Department of Mental Health, 30 East Broad Street, Columbus, 43215-3430, USA. crane-rossd@mh.state.oh.us
authors.forename: Dushka
authors.initials: D
authors.lastname: Crane-Ross
authors.forename: Wilma J
authors.initials: WJ
authors.lastname: Lutz
authors.forename: Dee
authors.initials: D
authors.lastname: Roth
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D009820:Ohio; D020377:Self Efficacy