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Towards a Grounded Theory Explanation of Mental Health Provider Perspectives on Consumer Involved Services

Mendenhall, Matthew Dean
http://rave.ohiolink.edu/etdc/view?acc_num=case1258222145

Abstract Details

2010, Doctor of Philosophy, Case Western Reserve University, Social Welfare.
This study employed grounded theory methodology and a three-stage analytic strategy to advance conceptual frameworks regarding fundamental transformation in mental health service delivery systems. The emergence of consumer provider (CP) models represents one manifestation of systemic transformation within mental health systems. Yet, while CP models enjoy a growing base of both advocacy declarations and supporting efficacy research, research also shows CP models are not broadly adopted. Individual interviews with 40 mental health providers (including psychiatrists, nurse practitioners, therapists, case managers, and administrators) were completed to gain a deeper understanding of their perspectives regarding CP models of service delivery. Findings from a multi-dimensional analysis include identification of 49 first level thematic codes (presented with constituting participant quotes), construction of four axial codes (or higher level constructs for grounded theory formation), and composition of narrative plot lines that anticipate transformative potential grounded in participant discourse. The essential plot line proposes that mental health providers construe their work in terms of both professional roles and human relationships. When providers consider CP models through a professional roles lens, they struggle with the notion that people with mental illnesses could consistently manage the gauntlet of mental health services, policies, and funding demands, fulfill ultimate responsibility for vulnerable others, and maintain uni-directional relationships expected in professionalism. However, providers also acknowledged the value of having been there; that people with mental illnesses do often have deeper understanding and credibility regarding navigation of stigma, labeling, and isolation. Study participants identified social isolation as a significant challenge associated with mental illnesses and mutual human relationships as an essential vehicle for improved mental health. The implication of this theoretical frame is that CP models built on a professional roles orientation to service delivery may trigger concerns and resistance from providers, while CP models built on a human relationships orientation may elicit provider support. In this way, a fundamental transformation in mental health systems may entail an amplification of relationship venues within the existing context of professional services.
Elizabeth Tracy, PhD (Committee Chair)
Jerry Floersch, PhD (Committee Member)
David Biegel, PhD (Committee Member)
Martha Sajatovic, PhD (Committee Member)
257 p.
Mental Health; Social Research; Social Work
mental health; mental illness; consumer provider; consumer involved services; grounded theory; thematic analysis; narrative; provider perspective; stigma; labeling; human relationships; professional roles orientation; comparative analytic strategy

Recommended Citations

Citations

  • Mendenhall, M. D. (2010). Towards a Grounded Theory Explanation of Mental Health Provider Perspectives on Consumer Involved Services [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1258222145

    APA Style (7th edition)

  • Mendenhall, Matthew. Towards a Grounded Theory Explanation of Mental Health Provider Perspectives on Consumer Involved Services. 2010. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1258222145.

    MLA Style (8th edition)

  • Mendenhall, Matthew. "Towards a Grounded Theory Explanation of Mental Health Provider Perspectives on Consumer Involved Services." Doctoral dissertation, Case Western Reserve University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1258222145

    Chicago Manual of Style (17th edition)

case1258222145
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© 2009, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.