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Lessons Learned From a Lawsuit: Creating Service for People with
Mental Illness and Mental Retardation
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Author: James R. Dudley Ph.D., Mary Lynne Calhoun Ph.D., Lynn
Ahlgrim-Delzell M.S.
Description:
What happens when a federal court orders a state government to
correct major problems in its service delivery provisions to people
with disabilities, especially people with the dual diagnosis of
mental retardation and psychiatric disorders? This book highlights
numerous and varied findings of an eight-year (1993-2001)
longitudinal study that attempted to measure the impact of this
lawsuit on both the people who were known as Thomas S. class members
and the state and local services that were available to them in North Carolina.
The Court Order specified that these class members have the right to
"minimally adequate habilitation provided in a proper treatment
setting." This modest language masks the dramatic changes that
were destined to be made in services as most class members have moved
away from psychiatric hospitals to communities, from a
facilities-based model to a person-centered model, and from fear of
the unknown to satisfaction in doing challenging work well. With the
dismissal of the lawsuit in 1998 and the end of court oversight,
North Carolina is experiencing the challenge of sustaining change.
The voices of consumers as well as policy makers, service providers,
and family members are heard throughout this book as it examines the
effects of legal intervention on the quality of life of people with disabilities.
The three editors of this book have all heen deeply engaged with the
Thomas S. Lawsuit as members of a research team at the University of
North Carolina at Charlotte. This team administered the work that is
covered in this book. |
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Click
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 Table
of contents
PART I: EVOLUTION OF THE CASE
What is the Thomas S. Case?, Mary Lynne Calhoun & Valerie J. Bradley
Impact of Lawsuit on Community Program Provisions, Lynn
Ahlgrim-Delzell & Kathleen Fry
PART II: WHO ARE THE THOMAS S. CLASS MEMBERS AND HOW HAVE THEY PROGRESSED?
Who Are They?, James R. Dudley
Variations in Consumer Satisfactions and Dissatisfactions By Where
They Lived, James R. Dudley & Lynn Ahlgrim-Delzell
Significant Progress in Outcomes, James W Conroy & James R. Dudley
Considering the Impact of Deinstitutionalization on Their Progress,
James W Conroy, Jeffrey Seiders, James R. Dudley, & Lynn Ahlgriin-Delzell
Description of Two Consumers, Lynn Ahlgrim-Delzell & Judy Korenkiewicz
The Views of Their Family Members, Mary Lynne Calhoun
PART III: A CLOSER LOOK AT PROGRAM PROVISIONS
From Lawsuit to Quality Improvement, Lynn Ahlgrim-Delzell & James
R. Dudley
Person-Centered Planning on Services Received, Lynn Ahlgrim-Delzell
& Suzanne M. Betts
When Staff and Consumers Disagree about Consumer Satisfaction, James
R. Dudley
PART IV: LOOKING AHEAD: WHAT HAPPENS NEXT?
Dismissal of the Lawsuit, Mary Lynne Calhoun & Valerie J. Bradley
The Fragility of Change, Mary Lynne Calhoun
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