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Participation in Governance Consumer participation in decisions about a provider organization’s policy direction and management supports the development of psychosocial interventions that meet the needs of consumers (Grant, 2010; Taylor et al., 2009). Consumers’ increasing assumption of decision-making roles in provider organizations and governmental bodies has resulted in innovations that have improved the quality of care (e.g., peer support services) (Allen et al., 2010). This context includes characteristics of the consumer, the qualifications of the provider, the clinic or specific setting in which care is rendered, the health system or organization in which the setting is embedded, and the regulatory and financial conditions under which it operates. Stakeholders in each of these areas can manipulate levers that shape the quality of a psychosocial intervention; shortfalls in the context of an intervention and in the manipulation of those levers can render a highly efficacious intervention unhelpful or even harmful (for example, levers, see Table 6-1).
The active involvement of consumers in the education and training of health care professionals has been increasing largely because of recognition that patients have unique expertise derived from their experience of illness, treatment, and related socioeconomic detriments (Towle et al., 2010).
Consumer participation in managing services directly informs organizations about consumer needs and has been strongly associated with consumers’ having information about service quality and how to access services (Omeni et al., 2014).