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Article   |    
An Advocacy Model for People With Long-Term Psychiatric Disabilities
Paul P. Freddolino; David P. Moxley; John A. Fleishman
Psychiatric Services 1989; doi:
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The authors gratefully thank Teresa Nelson, J.D., and the staff of the Mental Health Advocacy Project in San Jose, California, for their support and Josefina Figueira-McDonough, Ph.D., David Larson, M.D., Kenneth Meinhart, M.D., and Charles Windle, Ph.D., for their comments on earlier drafts. The research described here was supported by National Institute of Mental Health Research Grant 1R01MH37051.

School of Social Work at Michigan State University

School of Social Work at Wayne State University

Centers for Gerontology and Health Care Research at Brown University

1989 by the American Psychiatric Association

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Traditional rights protection and advocacy systems in the mental health field have focused primarily on the use of legal processes to protect patients in inpatient settings. This paper describes a study of an advocacy model designed to help frequent users of mental health services adjust more successfully to community living. Clients who were offered advocacy services related to self-identified problems and needs were compared with a control group who were not offered the services. During the study period clients who received the advocacy services were hospitalized significantly fewer days than the control group with no increase in psychiatric symptoms, but the differences between the two groups disappeared after advocacy services were terminated. The authors compare the advocacy intervention to case management and discuss the potential role of advocacy services in mental health systems.

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advocacy ; disability
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