Feasibility of Expanding Self-Directed Services to People with Serious Mental Illness. 5.1. Participant Satisfaction and Program Person-Centeredness


Evidence on SDC participant satisfaction with their SDC programs and on participants' perceptions of whether their program offers self-direction and person-centered planning is generally encouraging. In a report from 2006, Sullivan68 reported the findings of an evaluation of the Oregon Empowerment Initiatives Brokerage (EIB), a peer-run program that helps participants transition to independent community housing. Experiences in the program for the first 27 participants were collected using a questionnaire at 3-month intervals following participants' initial entry into the program. Their responses at follow-up were compared to their responses at entry into the program. The questionnaire presented respondents with a series of subjective statements about the program (e.g., "staff treat me as an equal") and asked them to rate their level of agreement, using a categorical scale from 1 "Strongly Disagree" to 4 "Strongly Agree." Participants reported improvement from program entry to follow-up on nearly all indicators of person-centeredness, sense of empowerment and self-efficacy, and sense of positive support from staff.

In a 2008 report on Florida SDC,58 Cook and colleagues reported findings from an evaluation based on interviews with 13 participants and eight non-participants. The non-participantswere interested in enrolling in SDC but did not enroll in the program. Participants indicated "high levels of satisfaction" with the program and gave "more positive responses" than non-participants in relation to attaining their personal recovery goals. Independent of the study by Cook and colleagues, the Florida Office of Program Policy Analysis and Government Accountability (OPPAGA) conducted interviews in 2010 with 64 Florida SDC participants.67 The OPPAGA reported that the 64 participants "generally expressed satisfaction with the program and believed that it was helping them maintain their ability to live independently or move toward recovery."

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