Salem Deborah A, Reischl Thomas M, Randall Katie W
Department of Psychology, Michigan State University, 127A Psychology Building, East Lansing, MI, 48824-1116, USA,
Am J Community Psychol. 2008 Sep;42(1-2):179-91. doi: 10.1007/s10464-008-9193-9.
The effects of partnership between Schizophrenics Anonymous (SA, a mutual-help organization) and the Mental Health Association in Michigan (MHAM, a professionally staffed advocacy organization) on SA's growth and development were explored. Following the initiation of a formal partnership, SA groups were more available throughout the state, more likely to be associated with formal mental health settings, and less likely to have leaders who had been participants in other SA groups. Groups with consumer leaders had significantly greater longevity than groups with professional leaders. Changes in the organizational structure and process of SA were also identified. SA leaders reported that SA moved from a collective to a more bureaucratic structure. As a result, there was greater consistency, administrative capacity, and response capacity. This enhanced capacity came with costs reported by SA leaders. The leadership role of SA members became less defined. SA members expressed concerns about the more hierarchical structure of SA's organization, decreased consumer control, increased professional involvement in SA, and an excessive focus on group development as opposed to group maintenance. Mental Health Association in Michigan staff reported that MHAM was also impacted by the partnership, both with regard to internal functioning and external perception. Implications for effective partnerships between mutual-help and professional organizations are discussed.
探讨了精神分裂症患者匿名互助组织（SA）与密歇根州心理健康协会（MHAM，一个有专业人员的倡导组织）之间的合作关系对SA成长与发展的影响。在建立正式合作关系后，SA小组在全州范围内更容易获得，更有可能与正规心理健康机构建立联系，并且拥有曾参与其他SA小组的领导者的可能性更小。由消费者担任领导者的小组的存续时间明显长于由专业人员担任领导者的小组。还确定了SA组织结构和流程的变化。SA领导者报告称，SA从集体结构转变为更具官僚性质的结构。结果，一致性、管理能力和响应能力都有所提高。这种能力的提升伴随着SA领导者报告的成本。SA成员的领导角色变得不那么明确。SA成员对SA组织中等级制度更森严、消费者控制权减少、专业人员在SA中的参与度增加以及过度关注小组发展而非小组维持表示担忧。密歇根州心理健康协会的工作人员报告称，MHAM在内部运作和外部认知方面也受到了合作关系的影响。讨论了互助组织与专业组织之间建立有效合作关系的启示。
