Rethinking Consumer Empowerment (and Systems Change) Through the Lessons of Self-Directed Care

By Nev Jones, Ph.D.

In an important and provocative study reported in this issue of Psychiatric Services, Cook and colleagues detail findings stemming from a rigorous and well-powered investigation of self-directed care for adults with serious mental illness living in Texas. The investigators found significant improvements in multiple key domains, including recovery, self-esteem, coping, autonomy support, and employment and education, all at no additional cost.

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