Abstract
When people participate in mental health consumer-run organizations (CROs), they frequently develop socially supportive friendship roles, empowering leadership roles, or both. The role framework suggests both of these roles can lead to a variety of participation benefits. This chapter presents results from a study examining the differential influence of these two types of roles on recovery. In an analysis of 250 CRO members from 20 CROs, the study uses structural equation modeling to examine the relationship between role involvement and recovery. Findings indicate both roles are related to recovery, however socially supportive friendship roles have a stronger relationship than empowering leadership roles. Discussion focuses on how CROs can promote the development of a socially supportive and empowering environment.
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References
Borkman, T. J. (1999). Understanding self-help/mutual aid: Experiential learning in the commons. New Brunswick, NJ: Rutgers University Press.
Brown, L. D., Shepherd, M. D., Merkle, E. C., Wituk, S. A., & Meissen, G. (2008). Understanding how participation in a consumer-run organization relates to recovery. American Journal of Community Psychology, 42, 167–178.
Burkholder, G., & Harlow, L. (2003). An illustration of a longitudinal cross-lagged design for larger structural equation models. Structural Equation Modeling, 10, 465–486.
Clark, C. C., & Krupa, T. (2002). Reflections on empowerment in community mental health: giving shape to an elusive idea. Psychiatric Rehabilitation Journal, 25, 341–349.
Coffman, D. L., & MacCallum, R. C. (2005). Using parcels to convert path analysis models into latent variable models. Multivariate Behavioral Research, 40, 235–259.
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2000). Social relationships and health. In S. Cohen, L. G. Underwood, & B. H. Gottlieb (Eds.), Social support measurement and intervention: a guide for health and social scientists (pp. 3–28). Oxford, England: Oxford University Press.
Cohen, S., & Wills, T. A. (1985). Stress, social support and the buffering hypothesis. Psychological Bulletin, 95, 310–357.
Cowan, C. P., & Cowan, P. A. (1986). A preventive intervention for couples becoming parents. In C. Z. Boukydis (Ed.), Research on support for parents and infants in the postnatal period. New York: Ablex.
Gourieroux, C., Holly, A., & Monfort, A. (1982). Likelihood ratio test, wald test, and kuhn-tucker test in linear models with inequality constraints on the regression parameters. Econometrica, 50, 63–80.
Helgeson, V. S., & Gottlieb, B. H. (2000). Support groups. In S. Cohen, L. G. Underwood, & B. H. Gottlieb (Eds.), Social support measurement and intervention: A guide for health and social scientists (pp. 221–245). Oxford, England: Oxford University Press.
Holter, M. C., Mowbray, C. T., Bellamy, C. D., MacFarlane, P., & Dukarski, J. (2004). Critical ingredients of consumer run services: results of a national survey. Community Mental Health Journal, 40(1), 47–63.
Hox, J. J., & Maas, C. J. M. (2001). The accuracy of multilevel structural equation modeling with pseudobalanced groups and small samples. Structural Equation Modeling, 8, 157–174.
Kishton, J. M., & Widaman, K. F. (1994). Unidimensional versus domain representative parceling of questionnaire items: an empirical example. Educational and Psychological Measurement, 54, 757–765.
Lieberman, M. A. (1993). Self-help groups. In H. I. Kaplan & B. J. Sadock (Eds.), Comprehensive group therapy. Baltimore, MD: Williams & Wilkins.
Luks, A. (1991). The helping power of doing good: The health and spiritual benefits of helping others. New York: Fawcett Columbine.
Maton, K. I., & Salem, D. A. (1995). Organizational characteristics of empowering community settings: a multiple case study approach. American Journal of Community Psychology, 23, 631–656.
Menard, S. (2002). Longitudinal research (2nd ed.). Thousand Oaks, CA: Sage.
Mohr, W. K. (2004). Surfacing the life phases of a mental health support group. Qualitative Health Research, 14, 61–77.
Moos, R. H. (1974). Evaluating treatment environments: A social ecological approach. New York: Wiley.
Moos, R. H., & Humphrey, B. (1974). Group environment scale form. Palo Alto, CA: Consulting psychologists.
Mowbray, C. T., & Tan, C. (1993). Consumer-operated drop-in centers: evaluation of operations and impact. Journal of Mental Health Administration, 20, 8–19.
Muthén, L. K., & Muthén, B. O. (2007). Mplus (Version 51) [Computer software]. Los Angeles, CA: Muthén & Muthén.
Muthén, B. O., & Satorra, A. (1995). Complex sample data in structural equation modeling. In P. V. Marsden (Ed.), Sociological Methodology (pp. 267–316). American Sociological Association: Washington, DC.
Nelson, G., Lord, J., & Ochocka, J. (2001). Shifting the paradigm in community mental health: Towards empowerment and community. Toronto, Canada: University of Toronto Press.
Peterson, N. A., & Zimmerman, M. A. (2004). Beyond the individual: toward a nomological network of organizational empowerment. American Journal of Community Psychology, 34, 129–145.
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models (2nd ed.). Newbury Park, CA: Sage.
Rook, K. (1990). Stressful aspects of older adults’ social relationships: current theory and research. In J. H. Crowther, S. E. Hobfoll, & D. L. Tennenbaum (Eds.), Stress and coping in later-life families (pp. 221–250). New York: Hemisphere.
Rook, K. (1992). Detrimental aspects of social relationships: taking stock of an emerging literature. In H. O. Viel & U. Baumann (Eds.), The meaning and measurement of social support (pp. 157–169). New York: Hemisphere.
Rosenberg, P. P. (1984). Support groups: a special therapeutic entity. Small Group Behavior, 15, 173–186.
Salzer, M. S. (1997). Consumer empowerment in mental health organizations: concept, benefits, and impediments. Administration and Policy in Mental Health, 24, 425–435.
Schulz, A. J., Israel, B. A., Zimmerman, M. A., & Checkoway, B. N. (1995). Empowerment as a multi-level construct: perceived control at the individual, organizational and community levels. Health Education Research, 10, 309–327.
Segal, S. P., Silverman, C. J., & Temkin, T. L. (1993). Empowerment and self-help agency practice for people with mental disabilities. Social Work, 38, 705–712.
Segal, S. P., Silverman, C. J., & Temkin, T. L. (1995). Measuring empowerment in client-run self-help agencies. Community Mental Health Journal, 31, 215–227.
Thoits, P. A. (1985). Social support and psychological well-being: theoretical possibilities. In I. G. Sarason & B. R. Sarason (Eds.), Social support: Theory, research, and applications (pp. 51–72). Dordrecht, The Netherlands: Martinus Nijhoff Publishers.
Toseland, R. W., & Rossiter, C. M. (1989). Group interventions to support family caregivers: a review and analysis. Gerontologist, 29, 438–448.
Ullman, J. B. (2001). Structural equation modeling. In B. G. Tabachnick & L. S. Fidell (Eds.), Using multivariate statistics (4th ed.). Boston: Allyn and Bacon.
Wothke, W. (2000). Longitudinal and multi-group modeling with missing data. In T. D. Little, K. U. Schnabel, & J. Baumert (Eds.), Modeling longitudinal and multilevel data: Practical issues, applied approaches, and specific examples. Mahwah, NJ: Lawrence Erlbaum Associates.
Zimmerman, M. A., & Rappaport, J. (1988). Citizen participation, perceived control, and psychological empowerment. American Journal of Community Psychology, 16, 725–750.
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Brown, L.D. (2012). Role Development and Recovery. In: Consumer-Run Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0700-3_8
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DOI: https://doi.org/10.1007/978-1-4614-0700-3_8
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