Download - Consumer-Operated Service Program
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Consumer-Operated Service Program
Multi-Site Research Initiative
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Consumer-Operated Service Program
Research ought to and can enhance consumer choice, power, and knowledge*
*From Consumer/Survivor Mental Health Research & Policy Work Group (1993)
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Consumer-Operated Service Program
The Consumer-Operated Service Program (COSP)Multi-site Research Initiative is a federally-fundednational effort to discover to what extent consumer-
operated programs as an adjunct to traditional mental health services are effective in improving the outcomes of adults with serious mental illness.
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• Multisite Study: Seven study sites located throughout the U.S. Coordinating Center in Missouri
• Four years of research supported
• Randomized experimental design
Features of COSP
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Consumer-Operated Service Program
Coordinating Center
Missouri Institute of Mental Health*Jean Campbell, Ph.D., principal investigator
University of Massachusetts Medical Center*Matt Johnsen, Ph.D., co-principal investigator
Federal Representatives
Substance Abuse and Mental Health Services Administration (SAMHSA)
Center for Mental Health Services (CMHS)*Betsy McDonel, Ph.D., federal program director
*Crystal Blyler, Ph.D., government project officer
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Participating Study Sites
• Connecticut
• Florida/California
• Illinois
• Maine
• Missouri
• Pennsylvania
• Tennessee
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Participating Study Sites
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What is a COSP? A consumer-
operated service is administratively controlled and operated by consumers and emphasizes self-help as its operational approach
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Types of Consumer-Operated Services
• Drop-in Centers• Educational &
Advocacy Training Programs
• Peer or Mutual Support Services
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COSP Goals• Establish the extent to which consumer-
operated services are effective in improving selected outcomes for consumers of mental health services
• Create strong and productive partnerships among consumers, service providers and service researchers
• Disseminate the knowledge gained
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Target Population Study participants are defined as persons age
18 and over who currently or at any time over the past year have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the DSM-IV that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.
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COSP Big Six Outcomes
• Employment• Empowerment• Housing• Service Satisfaction• Social Inclusion• Costs
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Cost Study Questions To what extent does participation in
consumer-operated service programs affect costs for the following:• inpatient
• crisis intervention
• emergency room utilization
• offsetting costs in housing, criminal justice, vocational rehabilitation, physical health care, and income support
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Research Design (1)Rigorous Methodology
• Multi-site Design• Random Assignment• Experimental
Intervention: Consumer-Operated Program + Traditional Mental Health Services
Control: Traditional Mental Health Services Only
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Research Design (2)
Logic Model
Common Protocol
Data Collection
Baseline, 4, 8, 12 months
N=2,230
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Research Design (3)
Fidelity/Implementation Assessment• Site Visits• Common Ingredients• Service Matrix• Fidelity Assessment Common Ingredients
Tool (FACIT)
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1,927 Study Participants!
Largest Study of Consumer Programs
in History
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Multisite Data Repository• Coordinating Center responsibility
• Data electronically transferred via the internet from 8 sites across the country
• Multiple data points in one database
• Over 1700 data elements with 12,566,400 observations
• Data consistency capabilities through queries
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Data Repository Specifications• Database
– Microsoft Access 97 (version 8)– self documented– secured (user ID and password)– encrypted
• Backups– backup plan required from sites– daily, monthly rolling backups– quarterly permanent backups
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Data Trail
Common
Protocol MIMH
Data Entry
Multiple Files
Merged Files
Transm
itted
to C
C
Files from 7 Sites
ROW
Merged Files
Data Analyzed
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Data Entry Program • Created to allow data entry at the site level• Missing variables not allowed• Programmed to allow only in-range
responses• Designed for “heads down” data entry• Automated skip patterns• Required double entry verification
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Data Entry Screen
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• Site Reports to Coordinating Center– Weekly Flash Report
• Track enrollment by condition
– Quarterly Report• Report on recruitment, enrollment, and attrition
• Report cost data status
• Narrative on site accomplishments, problems encountered, and goals
Study Progress Monitoring
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Study Progress Monitoring
• Coordinating Center Reports– Enrollment– Engagement– Cost data– Projections– Power analysis– Baseline equivalencies – Other summaries
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Quality Control Functions
• On-going monitoring of standardized interviewing– Interviewer Alerts– Updates to the Question by Question Manual
• Follow-up windows monitored
• Patterns of missing variables tracked
• Collection of diagnoses monitored
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Common Ingredients (1)
• Structure– Consumer-Operated
– Participant responsive
– Links to other supports
• Environment– Accessibility
– Safety
– Informal Setting
– Reasonable accommodation
•Belief Systems–Peer principal
–Helpers principle
–Empowerment
–Choice
–Recovery
–Acceptance and Respect for diversity
–Spiritual growth
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Common Ingredients (2)• Education
– Self-management/problem solving
– Education
• Advocacy– Self-advocacy
– Peer advocacy
– Systems advocacy
•Peer Support–Peer support
–Telling out stories
–Consciousness-raising
–Crisis Prevention
–Peer mentoring and teaching
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Key Operational Values
• Consumer Involvement
• Consumer Education
• Extensive Technical Assistance
• Electronic and Interactive Communications
• Collaboration
• Cultural Competency
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Building Partnerships
• Can consumers, service providers, and researchers complement each other’s strengths?
• Do joint efforts yield the most effective service delivery model possible?
• Will consumer-operated services have a crucial role to play in mental health service delivery system?
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COSP Basic Principles1. Focus on the situation, issue, or behavior,
not on the person.
2. Maintain the self-confidence and self-esteem of others.
3. Maintain constructive relationships.
4. Take the initiative to make things better.
5. Lead by example.
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Consumer CollaborationSC Consumer Involvement
SC Consumer Representatives
Consumer Advisory Panel
Study Sites Consumer Involvement
Site Consumer Advisory Boards
Consumer Researchers
CC Consumer Research Support
Research Glossary
Workshops
Technical Assistance
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Building Trust
Policies to ensure access to project information
Supportive communications infrastructure
Defined decision-making process
– Telling our stories
– Use of the language “we,” “our” and “us”
– Voting, focus groups, and ad hoc subcommittee meetings
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Building a Learning Community
Learning is the core objective and thisshould guide decision-making.
Mike English, CMHS
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Consumer-Operated Service Program
One of the hallmarks of the COSP is the effort made to use
technology to facilitate work and disseminate information.
Visit our website
http://cosp.mimhtraining.com/