Center for Personal Assistance Services University of California, San Francisco  
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Pita, D.D., Ellison, M.L., Farkas, M., & Bleecker, T. (2001). Exploring personal assistance services for people with psychiatric disabilities. Journal of Disability Policy Studies, 12(1), 2-9.

Abstract

This article explores the concept of PAS applied to people with psychiatric disabilities, through a study of state policy, secondary analysis of PAS programs for all disability populations, and a needs assessment of mental health consumers. Findings indicate that state administrators confuse PAS with psychiatric rehabilitation and case management, which are services distinct from PAS but which may overlap (for example, assistance with scheduling clinic appointments or arranging transportation). The authors note that the context and purpose of the service, not the specific service rendered, distinguishes PAS from case management, with the former embodying independent living, empowerment, and non-reliance on professional and medical expertise. In general, administrators were unable to report the number of people with psychiatric disabilities served by PAS or how PAS services for this population differed from PAS provided to other populations.

Consumers surveyed most frequently identified transportation as the most important PAS service, as well as providing emotional support and help with negotiating service systems. Help with coping with on-the-job stress was mentioned by nearly half as very important. The findings point to the need for additional research on psychiatric PAS to inform future program planning, and the need for technical assistance for states implementing psychiatric PAS.

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