What are the CSP Principles about?

§ A set of guidelines for serving adults with serious mental illnesses
§ Benchmarks for designing consumer-centered services
§ Expectations for service outcomes by all organizational levels
§ A strategy for change and avoiding a traditional service model

What are the CSP Principles?

§ Services should be Consumer Centered.
§ Services should empower Consumers.
§ Services should be racially and culturally appropriate.
§ Services should be flexible.
§ Services should focus on strengths.
§ Services should be normalized and incorporate natural supports.
§ Services should meet special needs.
§ Services should be accountable.
§ Services should be coordinated.

Where did the CSP Principles come from?

§ Developed at NIMH (National Institute of Mental Health) in 1977
§ Adopted by the PA Office of Mental Health (PDPW)
§ Incorporated in all county-level MH functions
§ Derived from key bioethical tenets (autonomy, beneficence, and justice)

Why are the CSP Principles important?

§ They're meaningful, make sense, and have "face validity"
§ They're mandatory for all State and County MH providers (Corporate Compliance)
§ They level the Consumer/provider playing field
§ They're the foundation for quality assurance

What are "Customer Centered" services?

§ Based on and responsive to Consumer rather than provider needs
§ Indicated by optimal consumer participation in service planning
§ Use of a "we" or team approach to care vs. "us and them" mind set
§ Defined service outcomes are meaningful to Consumers

How can services "empower Consumers"?

§ Integrate self-help and facilitate Consumer control over their lives
§ Indicated by honoring Consumer preferences whenever possible
§ Consumer strengths, interests, and resources are acknowledged and used fully
§ Consumers are informed and given opportunities to make meaningful decisions

What are "racially and culturally appropriate" services?

§ Available, accessible, and acceptable to all Consumer segments and groups served
§ Indicated by efforts to assure staff sensitivity to gender issues and socio-cultural diversity
§ Non-traditional interventions and methods are considered
§ Assessments take Consumer's cultural context into consideration

How can services "be normalized and incorporate natural supports"?

§ Offered in least restrictive setting consistent with Consumer safety
§ Utilize community-based resources as available and appropriate
§ Indicated by minimizing Consumer over-dependence on one provider for all services.
§ Maintaining ties to family, school, employment, etc.

What is meant by "special needs"?

§ Services adapted to the aged, dual diagnosed, developmentally disabled, etc.
§ Services must accommodate physical as well psychological impairments
§ Indicated by specialized outreach and programs (e.g., correctional facility services)
§ Use of internal staff specialists and representatives of other providers

How can services be "accountable"?

§ Consumers and families are involved in service planning and evaluation.
§ Indicated by Consumer-friendly service information and explanations
§ Provider facilitates outside monitoring (e.g., Consumer Satisfaction Team)
§ Provider uses Continuous Quality Improvement (CQI) process
§ Provider measures Consumer satisfaction

How should services be "coordinated"?

§ There must be a continuum and continuity of care
§ Indicated by linkages, contracts, and referral arrangements
§ Staff are designated as liaisons to other service providers
§ Providers are proactive in developing a comprehensive service delivery system
§ Providers see themselves as part of a network vs. a "one stop shop"

How are the CSP Principles implemented?

§ Participation in the County CSP Committee
§ Organizational committee to promote/monitor CSP compliance (e.g., Ethics Committee)
§ Use in the planning, design, and evaluation of programs
§ Incorporation in new employee and annual employee education modules

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