Mental health reform: Client and family member perspectives

Abstract

This article explores the impact of mental health reform from the perspective of those most affected by changes in the organization and delivery of services: clients and family members. Eighty-four clients and 48 family-member participants were interviewed about their experiences with the mental health system. Specifically addressed are experiences with and perceptions of (a) client living situations, including adequacy and stability, (b) community support services, including case management and crisis services, (c) normalization of daily life, including participation in work or vocational services and social activities, and (d) changes in the mental health system. In addition, family members' perceptions of burden in caring for a mentally ill relative will be discussed.