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Erschienen in: Community Mental Health Journal 3/2011

01.06.2011 | Original Paper

Can Consumer-Led Mental Health Services be Equally Effective? An Integrative Review of CLMH Services in High-Income Countries

verfasst von: Carolyn Doughty, Samson Tse

Erschienen in: Community Mental Health Journal | Ausgabe 3/2011

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Abstract

This study examined the evidence from controlled studies for the effectiveness of consumer-led mental health services. Following an extensive search of material published in English from 1980, predefined inclusion criteria were systematically applied to research articles that compared a consumer-led mental health service to a traditional mental health service. A total of 29 eligible studies were appraised; all of them were conducted in high-income countries. Overall consumer-led services reported equally positive outcomes for their clients as traditional services, particularly for practical outcomes such as employment or living arrangements, and in reducing hospitalizations and thus the cost of services. Involving consumers in service delivery appears to provide employment opportunities and be beneficial overall for the consumer-staff members and the service. Despite growing evidence of effectiveness, barriers such as underfunding continue to limit the use and evaluation of consumer-led services. Future studies need to adopt more uniform definitions and prioritize the inclusion of recovery oriented outcome measures.
Literatur
Zurück zum Zitat Allott, P., Clark, M., & Slade, M. (2006). Taking DREEM Forward. Background and summary of experience with REE/REEM so far. Report prepared for Director of Mental Health Research, London, United Kingdom: Department of Health. Allott, P., Clark, M., & Slade, M. (2006). Taking DREEM Forward. Background and summary of experience with REE/REEM so far. Report prepared for Director of Mental Health Research, London, United Kingdom: Department of Health.
Zurück zum Zitat Anderson, R., Caputi, P., & Oades, L. (2006). Stages of recovery instrument: Development of a measure of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40, 972–980. Anderson, R., Caputi, P., & Oades, L. (2006). Stages of recovery instrument: Development of a measure of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40, 972–980.
Zurück zum Zitat Burti, L., Amaddeo, F., Ambrosi, M., Bonetto, C., Cristofalo, D., Ruggeri, M., et al. (2005). Does additional care provided by a consumer self-help group improve psychiatric outcome? A study in an Italian community-based psychiatric service. Community Mental Health Journal, 41(6), 705–720.PubMedCrossRef Burti, L., Amaddeo, F., Ambrosi, M., Bonetto, C., Cristofalo, D., Ruggeri, M., et al. (2005). Does additional care provided by a consumer self-help group improve psychiatric outcome? A study in an Italian community-based psychiatric service. Community Mental Health Journal, 41(6), 705–720.PubMedCrossRef
Zurück zum Zitat Campbell, J. (2005). The historical and philosophical development of peer-run support programs. In S. Clay (Ed.), Doing it our way: Peer programs that work for people with mental illness. Nashville, TN: Vanderbilt University Press. Campbell, J. (2005). The historical and philosophical development of peer-run support programs. In S. Clay (Ed.), Doing it our way: Peer programs that work for people with mental illness. Nashville, TN: Vanderbilt University Press.
Zurück zum Zitat Campbell, J. (2004). Consumer-operated services program (COSP) multisite research initiative: Overview and preliminary findings. Saint Louis, MO: Missouri Institute of Mental Health. Campbell, J. (2004). Consumer-operated services program (COSP) multisite research initiative: Overview and preliminary findings. Saint Louis, MO: Missouri Institute of Mental Health.
Zurück zum Zitat Castelein, S., Bruggeman, R., van Busschbach, J. T., van der Gaag, M., Stant, A. D., Knegtering, H., et al. (2008). The effectiveness of peer support groups in psychosis: A randomized controlled trial. Acta Psychiatrica Scandinavica, 118, 64–72.PubMedCrossRef Castelein, S., Bruggeman, R., van Busschbach, J. T., van der Gaag, M., Stant, A. D., Knegtering, H., et al. (2008). The effectiveness of peer support groups in psychosis: A randomized controlled trial. Acta Psychiatrica Scandinavica, 118, 64–72.PubMedCrossRef
Zurück zum Zitat Chen, H. (1990). Theory-driven evaluations. Newbury Park, California: Sage. Chen, H. (1990). Theory-driven evaluations. Newbury Park, California: Sage.
Zurück zum Zitat Chinman, M. J., Rosenheck, R., Lam, J. A., & Davidson, L. (2000). Comparing consumer and non-consumer provided case management services for homeless persons with serious mental illness. Journal of Nervous and Mental Disease, 188(7), 446–453.PubMedCrossRef Chinman, M. J., Rosenheck, R., Lam, J. A., & Davidson, L. (2000). Comparing consumer and non-consumer provided case management services for homeless persons with serious mental illness. Journal of Nervous and Mental Disease, 188(7), 446–453.PubMedCrossRef
Zurück zum Zitat Chinman, M. J., Weingarten, R., Stayner, D., & Davidson, L. (2001). Chronicity reconsidered: Improving person-environment fit through a consumer-run service. Community Mental Health Journal, 37(3), 215–229.PubMedCrossRef Chinman, M. J., Weingarten, R., Stayner, D., & Davidson, L. (2001). Chronicity reconsidered: Improving person-environment fit through a consumer-run service. Community Mental Health Journal, 37(3), 215–229.PubMedCrossRef
Zurück zum Zitat Clark, C., Scott, E., Boydell, K., & Goering, P. (1999). Effects of clients interviewers on client-reported satisfaction with mental health services. Psychiatric Services, 50, 961–963.PubMed Clark, C., Scott, E., Boydell, K., & Goering, P. (1999). Effects of clients interviewers on client-reported satisfaction with mental health services. Psychiatric Services, 50, 961–963.PubMed
Zurück zum Zitat Clarke, G. N., Herinckx, H. A., Kinney, R. F., Paulson, R. I., Cutler, D. L., Lewis, K., et al. (2000). Psychiatric hospitalizations, arrests, emergency room visits, and homelessness of clients with serious and persistent mental illness: Findings from a randomized trial of two ACT Programs vs. usual care. Mental Health Services Research, 2(3), 155–164.PubMedCrossRef Clarke, G. N., Herinckx, H. A., Kinney, R. F., Paulson, R. I., Cutler, D. L., Lewis, K., et al. (2000). Psychiatric hospitalizations, arrests, emergency room visits, and homelessness of clients with serious and persistent mental illness: Findings from a randomized trial of two ACT Programs vs. usual care. Mental Health Services Research, 2(3), 155–164.PubMedCrossRef
Zurück zum Zitat Cook, J. A., Jonikas, J. A., & Razzano, L. (1995). A randomized evaluation of consumer versus non-consumer training of state mental health service providers. Community Mental Health Journal, 31(3), 229–238.PubMedCrossRef Cook, J. A., Jonikas, J. A., & Razzano, L. (1995). A randomized evaluation of consumer versus non-consumer training of state mental health service providers. Community Mental Health Journal, 31(3), 229–238.PubMedCrossRef
Zurück zum Zitat Craig, T., Doherty, I., Jamieson-Craig, R., Boocock, A., & Attafua, G. (2004). The consumer-employee as a member of a Mental Health Assertive Outreach Team. I. Clinical and social outcomes. Journal of Mental Health, 13(1), 59–69.CrossRef Craig, T., Doherty, I., Jamieson-Craig, R., Boocock, A., & Attafua, G. (2004). The consumer-employee as a member of a Mental Health Assertive Outreach Team. I. Clinical and social outcomes. Journal of Mental Health, 13(1), 59–69.CrossRef
Zurück zum Zitat Crawford, M. J., & Rutter, D. (2004). Are the views of members of mental health user groups representative of those of ‘ordinary’ patients? A cross-sectional survey of service users and providers. Journal of Mental Health, 13(6), 561–568.CrossRef Crawford, M. J., & Rutter, D. (2004). Are the views of members of mental health user groups representative of those of ‘ordinary’ patients? A cross-sectional survey of service users and providers. Journal of Mental Health, 13(6), 561–568.CrossRef
Zurück zum Zitat Davidson, L., Chinman, M., Kloos, B., Weingarten, R., Stayner, D., & Tebes, J. K. (1999). Peer support among individuals with severe mental illness: A review of the evidence. Clinical Psychology-Science and Practice, 6(2), 165–187.CrossRef Davidson, L., Chinman, M., Kloos, B., Weingarten, R., Stayner, D., & Tebes, J. K. (1999). Peer support among individuals with severe mental illness: A review of the evidence. Clinical Psychology-Science and Practice, 6(2), 165–187.CrossRef
Zurück zum Zitat Davidson, L., Chinman, M. J., Kloos, B., Weingarten, R., Stayner, D. A., & Tebes, J. K. (2005). Peer support among individuals with severe mental illness: A review of the evidence. In L. Davidson, C. Harding, & L. Spaniol (Eds.), Recovery from severe mental illnesses: Research evidence and implications for practice, Volume 1 (pp. 412–450). Boston: Boston University Center for Psychiatric Rehabilitation. Davidson, L., Chinman, M. J., Kloos, B., Weingarten, R., Stayner, D. A., & Tebes, J. K. (2005). Peer support among individuals with severe mental illness: A review of the evidence. In L. Davidson, C. Harding, & L. Spaniol (Eds.), Recovery from severe mental illnesses: Research evidence and implications for practice, Volume 1 (pp. 412–450). Boston: Boston University Center for Psychiatric Rehabilitation.
Zurück zum Zitat Davidson, L., Shahar, G., Stayner, D. A., Chinman, M. J., Rakfeldt, J., & Tebes, J. K. (2004). Supported socialization for people with psychiatric disabilities: Lessons from a randomized controlled trial. Journal of Community Psychology, 32(4), 453–477.CrossRef Davidson, L., Shahar, G., Stayner, D. A., Chinman, M. J., Rakfeldt, J., & Tebes, J. K. (2004). Supported socialization for people with psychiatric disabilities: Lessons from a randomized controlled trial. Journal of Community Psychology, 32(4), 453–477.CrossRef
Zurück zum Zitat Dumont, J., & Jones, K. (2002). Findings from a consumer/survivor defined alternative to psychiatric hospitalization. Outlook, Evaluation Center@HSRI and NASMHPD Research Institute, Spring issue, pp. 4–6. Dumont, J., & Jones, K. (2002). Findings from a consumer/survivor defined alternative to psychiatric hospitalization. Outlook, Evaluation Center@HSRI and NASMHPD Research Institute, Spring issue, pp. 4–6.
Zurück zum Zitat Felton, C. J., Stastny, P., Shern, D. L., Blanch, A., Donahue, S. A., Knight, E., et al. (1995). Consumers as peer specialists on intensive case management teams: Impact on client outcomes. Psychiatric Services, 46(10), 1037–1044.PubMed Felton, C. J., Stastny, P., Shern, D. L., Blanch, A., Donahue, S. A., Knight, E., et al. (1995). Consumers as peer specialists on intensive case management teams: Impact on client outcomes. Psychiatric Services, 46(10), 1037–1044.PubMed
Zurück zum Zitat Forchuk, C., Martin, M., Chan, Y. L., & Jensen, E. (2005). Therapeutic relationships: From psychiatric hospital to community. Journal of Psychiatric and Mental Health Nursing, 12(5), 556–564.PubMedCrossRef Forchuk, C., Martin, M., Chan, Y. L., & Jensen, E. (2005). Therapeutic relationships: From psychiatric hospital to community. Journal of Psychiatric and Mental Health Nursing, 12(5), 556–564.PubMedCrossRef
Zurück zum Zitat Goldstrom, I., Campbell, J., Rogers, J., Lambert, D., Blacklow, B., Henderson, M., et al. (2006). National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health and Mental Health Services Research, 33(1), 92–103.PubMedCrossRef Goldstrom, I., Campbell, J., Rogers, J., Lambert, D., Blacklow, B., Henderson, M., et al. (2006). National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health and Mental Health Services Research, 33(1), 92–103.PubMedCrossRef
Zurück zum Zitat Gordon, S. (2009). Taku Reo, Taku Mauri Ora: My voice, my life. Developing a consumer-assessed outcome measure for Aotearoa/New Zealand. Auckland, New Zealand: The National Centre of Mental Health Research, Information and Workforce Development. Gordon, S. (2009). Taku Reo, Taku Mauri Ora: My voice, my life. Developing a consumer-assessed outcome measure for Aotearoa/New Zealand. Auckland, New Zealand: The National Centre of Mental Health Research, Information and Workforce Development.
Zurück zum Zitat Gordon, S., Ellis, P., & Haggerty, C. (2004). Preliminary work towards the development of a self-assessed measure of consumer outcome. A mental health research and development strategy report. Auckland, New Zealand: Health Research Council of New Zealand. Gordon, S., Ellis, P., & Haggerty, C. (2004). Preliminary work towards the development of a self-assessed measure of consumer outcome. A mental health research and development strategy report. Auckland, New Zealand: Health Research Council of New Zealand.
Zurück zum Zitat Graham, C., Coombs, T., Buckingham, B., Eagar, K., Trauer, T., & Callaly, T. (2001). The Victorian Mental Health Outcomes Measurement Strategy: Consumer perspectives on future directions for outcome self-assessment. Report of the Consumer Consultation Project. Victoria, Australia: Department of Human Services. Graham, C., Coombs, T., Buckingham, B., Eagar, K., Trauer, T., & Callaly, T. (2001). The Victorian Mental Health Outcomes Measurement Strategy: Consumer perspectives on future directions for outcome self-assessment. Report of the Consumer Consultation Project. Victoria, Australia: Department of Human Services.
Zurück zum Zitat Greenfield, T., Stoneking, B., Humphreys, K., Sundby, E., & Bond, J. (2008). A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis. American Journal of Psychology, 42, 135–144.CrossRef Greenfield, T., Stoneking, B., Humphreys, K., Sundby, E., & Bond, J. (2008). A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis. American Journal of Psychology, 42, 135–144.CrossRef
Zurück zum Zitat Kane, C. F., & Blank, M. B. (2004). NPACT: Enhancing programs of assertive community treatment for the seriously mentally ill. Community Mental Health Journal, 40(6), 549–559.PubMedCrossRef Kane, C. F., & Blank, M. B. (2004). NPACT: Enhancing programs of assertive community treatment for the seriously mentally ill. Community Mental Health Journal, 40(6), 549–559.PubMedCrossRef
Zurück zum Zitat Kaufmann, C. (1995). The self help employment center: Some outcomes from the first year. Psychosocial Rehabilitation Journal, 18(4), 145–162. Kaufmann, C. (1995). The self help employment center: Some outcomes from the first year. Psychosocial Rehabilitation Journal, 18(4), 145–162.
Zurück zum Zitat Klein, A., Cnaan, R., & Whitecraft, J. (1998). Significance of peer social support with dually diagnosed clients: Findings from a pilot study. Research on Social Work Practice, 8(5), 529–551.CrossRef Klein, A., Cnaan, R., & Whitecraft, J. (1998). Significance of peer social support with dually diagnosed clients: Findings from a pilot study. Research on Social Work Practice, 8(5), 529–551.CrossRef
Zurück zum Zitat Mowbray, C. T., & Tan, C. (1993). Consumer-operated drop-in centers: Evaluation of operations and impact. Journal of Mental Health Administration, 20, 8–19.PubMedCrossRef Mowbray, C. T., & Tan, C. (1993). Consumer-operated drop-in centers: Evaluation of operations and impact. Journal of Mental Health Administration, 20, 8–19.PubMedCrossRef
Zurück zum Zitat Mueser, K., Glynn, S., Corrigan, P., & Baber, W. (1996). A survey of preferred terms for users of mental health services. Psychiatric Services, 47(7), 760–761.PubMed Mueser, K., Glynn, S., Corrigan, P., & Baber, W. (1996). A survey of preferred terms for users of mental health services. Psychiatric Services, 47(7), 760–761.PubMed
Zurück zum Zitat National Association of State Mental Health Program Directors. (1989). NASMHPD Position Paper on Consumer Contributions to Mental Health Service Delivery Systems. Arlington, VA: NASMHPD. National Association of State Mental Health Program Directors. (1989). NASMHPD Position Paper on Consumer Contributions to Mental Health Service Delivery Systems. Arlington, VA: NASMHPD.
Zurück zum Zitat National Health and Medical Research Council. (2000). How to use the evidence: Assessment and application of scientific evidence. Canberra: NHMRC. National Health and Medical Research Council. (2000). How to use the evidence: Assessment and application of scientific evidence. Canberra: NHMRC.
Zurück zum Zitat Nelson, G., Ochocka, J., Janzen, R., & Trainor, J. (2006a). A longitudinal study of mental health consumer/survivor initiatives: Part 1–Literature review and overview of the study. Journal of Community Psychology, 34(3), 247–260.CrossRef Nelson, G., Ochocka, J., Janzen, R., & Trainor, J. (2006a). A longitudinal study of mental health consumer/survivor initiatives: Part 1–Literature review and overview of the study. Journal of Community Psychology, 34(3), 247–260.CrossRef
Zurück zum Zitat Nelson, G., Ochocka, J., Janzen, R., & Trainor, J. (2006b). A longitudinal study of mental health consumer/survivor initiatives: Part 2—a quantitative study of impacts of participation on new members. Journal of Community Psychology, 34(3), 261–272.CrossRef Nelson, G., Ochocka, J., Janzen, R., & Trainor, J. (2006b). A longitudinal study of mental health consumer/survivor initiatives: Part 2—a quantitative study of impacts of participation on new members. Journal of Community Psychology, 34(3), 261–272.CrossRef
Zurück zum Zitat O’Donnell, M., Parker, G., Proberts, M., Matthews, R., Fisher, D., Johnson, B., et al. (1999). A study of client-focused case management and consumer advocacy: The Community and Consumer Service Project. Australian and New Zealand Journal of Psychiatry, 33(5), 684–693.PubMed O’Donnell, M., Parker, G., Proberts, M., Matthews, R., Fisher, D., Johnson, B., et al. (1999). A study of client-focused case management and consumer advocacy: The Community and Consumer Service Project. Australian and New Zealand Journal of Psychiatry, 33(5), 684–693.PubMed
Zurück zum Zitat Ochocka, J., Nelson, G., Janzen, R., & Trainor, J. (2006). A longitudinal study of mental health consumer/survivor initiatives: Part 3—a qualitative study of impacts of participation on new members. Journal of Community Psychology, 34(3), 273–283.CrossRef Ochocka, J., Nelson, G., Janzen, R., & Trainor, J. (2006). A longitudinal study of mental health consumer/survivor initiatives: Part 3—a qualitative study of impacts of participation on new members. Journal of Community Psychology, 34(3), 273–283.CrossRef
Zurück zum Zitat Paulson, R., Henrickx, H., Demmler, J., Clarke, G., Cutler, D., & Birecree, E. (1999). Comparing practice patterns of consumer and non-consumer mental health service providers. Community Mental Health Journal, 35(3), 251–269.PubMedCrossRef Paulson, R., Henrickx, H., Demmler, J., Clarke, G., Cutler, D., & Birecree, E. (1999). Comparing practice patterns of consumer and non-consumer mental health service providers. Community Mental Health Journal, 35(3), 251–269.PubMedCrossRef
Zurück zum Zitat Polowczyk, D., Brutus, M., Orvieto, A., Vidal, J., & Cipriani, D. (1993). Comparison of patient and staff surveys of consumer satisfaction. Hospital & Community Psychiatry, 44(6), 589–591. Polowczyk, D., Brutus, M., Orvieto, A., Vidal, J., & Cipriani, D. (1993). Comparison of patient and staff surveys of consumer satisfaction. Hospital & Community Psychiatry, 44(6), 589–591.
Zurück zum Zitat Powell, T., Hill, E., Warner, L., Yeaton, W., & Silk, K. (2000). Encouraging people with mood disorders to attend a self-help group. Journal of Applied Social Psychology, 30(11), 2270–2288.CrossRef Powell, T., Hill, E., Warner, L., Yeaton, W., & Silk, K. (2000). Encouraging people with mood disorders to attend a self-help group. Journal of Applied Social Psychology, 30(11), 2270–2288.CrossRef
Zurück zum Zitat Rapp, C. A., & Goscha, R. J. (2006). The strengths model: Case management with people with psychiatric disabilities (2nd ed.). NY, US: Oxford University Press. Rapp, C. A., & Goscha, R. J. (2006). The strengths model: Case management with people with psychiatric disabilities (2nd ed.). NY, US: Oxford University Press.
Zurück zum Zitat Sells, D., Davidson, L., Jewell, C., Falzer, P., & Rowe, M. (2006). The treatment relationship in peer-based and regular case management for clients with severe mental illness. Psychiatric Services, 57(8), 1179–1184.PubMedCrossRef Sells, D., Davidson, L., Jewell, C., Falzer, P., & Rowe, M. (2006). The treatment relationship in peer-based and regular case management for clients with severe mental illness. Psychiatric Services, 57(8), 1179–1184.PubMedCrossRef
Zurück zum Zitat Simpson, E. L., & House, A. O. (2002). Involving users in the delivery and evaluation of mental health services: Systematic review. British Medical Journal, 325(7375), 1265.PubMedCrossRef Simpson, E. L., & House, A. O. (2002). Involving users in the delivery and evaluation of mental health services: Systematic review. British Medical Journal, 325(7375), 1265.PubMedCrossRef
Zurück zum Zitat Solomon, P., & Draine, J. (1995a). The efficacy of a consumer case management team: 2-year outcomes of a randomized trial. Journal of Mental Health Administration, 22, 135–146.PubMedCrossRef Solomon, P., & Draine, J. (1995a). The efficacy of a consumer case management team: 2-year outcomes of a randomized trial. Journal of Mental Health Administration, 22, 135–146.PubMedCrossRef
Zurück zum Zitat Solomon, P., & Draine, J. (1995b). One year outcome of a randomized trial of consumer case managers. Evaluation & Program Planning, 18, 117–127. Solomon, P., & Draine, J. (1995b). One year outcome of a randomized trial of consumer case managers. Evaluation & Program Planning, 18, 117–127.
Zurück zum Zitat Solomon, P., & Draine, J. (1996). Service delivery differences between consumer and non-consumer case managers in mental health. Research on Social Work Practice, 6(2), 193–207.CrossRef Solomon, P., & Draine, J. (1996). Service delivery differences between consumer and non-consumer case managers in mental health. Research on Social Work Practice, 6(2), 193–207.CrossRef
Zurück zum Zitat Summers, A. (2003). Involving users in the development of mental health services: A study of psychiatrists’ views. Journal of Mental Health, 12(2), 161–174.CrossRef Summers, A. (2003). Involving users in the development of mental health services: A study of psychiatrists’ views. Journal of Mental Health, 12(2), 161–174.CrossRef
Zurück zum Zitat Uttaro, T., Leahy, V., Gonzalez, A., & Henri, W. F. (2004). Effect of type of survey administrator on Consumer Assessment of Care. Psychological Reports, 94(3 Pt 2), 1279–1282.PubMed Uttaro, T., Leahy, V., Gonzalez, A., & Henri, W. F. (2004). Effect of type of survey administrator on Consumer Assessment of Care. Psychological Reports, 94(3 Pt 2), 1279–1282.PubMed
Zurück zum Zitat Wood, A. L., & Wahl, O. F. (2006). Evaluating the effectiveness of a consumer-provided mental health recovery education presentation. Psychiatric Rehabilitation Journal, 30(1), 46–53.PubMedCrossRef Wood, A. L., & Wahl, O. F. (2006). Evaluating the effectiveness of a consumer-provided mental health recovery education presentation. Psychiatric Rehabilitation Journal, 30(1), 46–53.PubMedCrossRef
Zurück zum Zitat Young, A. S., Chinman, M., Forquer, S. L., Knight, E. L., Vogel, H., Miller, A., et al. (2005). Use of a consumer-led intervention to improve provider competencies. Psychiatric Services, 56(8), 967–975.PubMedCrossRef Young, A. S., Chinman, M., Forquer, S. L., Knight, E. L., Vogel, H., Miller, A., et al. (2005). Use of a consumer-led intervention to improve provider competencies. Psychiatric Services, 56(8), 967–975.PubMedCrossRef
Metadaten
Titel
Can Consumer-Led Mental Health Services be Equally Effective? An Integrative Review of CLMH Services in High-Income Countries
verfasst von
Carolyn Doughty
Samson Tse
Publikationsdatum
01.06.2011
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 3/2011
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-010-9321-5

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