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Finally, consumers can provide peer services by assuming regular clinical or PSR positions in mental health and PSR agencies Often, these positions, such as case manager aide or peer specialist, extend services provided by nonconsumer professionals (Felton et al, 1995) However, consumers can also fill core clinical, case management, and PSR positions and studies of consumers as core providers generally have yielded positive findings (Davidson et al, 1999; Solomon & Draine, 2001) In a quasi-experimental study, Felton et al (1995) found that the addition of peer specialists to intensive case management (ICM) teams enhanced outcomes for consumers with histories of homelessness and heavy use of emergency services.

These investigators found that consumers served by teams enhanced by peer specialists had fewer life problems, greater gains in quality of life, and greater gains in self-image and social support, versus people served by ICM teams with no enhanced positions or with additional, nonconsumer assistants Peer specialists in the study received 8 weeks of training in (1) a peer counseling approach characterized by the sharing of common experiences, practical strategies for recovery and survival, and social and recreational activities; (2) advocacy services; and (3) organizing self-help social clubs Because there is also much to be gained for the people who provide peer services, from a PSR perspective other employee roles for consumers within the system are of potential interest McQuilken et al.

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, lacking any such annotation) is also valid GMSL An example with intrinsic GMSL annotation features that is also valid GMSL is GATTACA deletion GATA snp CGAT insertion (TACA) insertion GG, where the site of a deletion is noted, a section TACA highlighted as inserted, and C is highlighted as a SNP An important feature is 64 types of bracket that can be overlapped (as opposed to solely nested) and associated with annotation, to describe overlapping sequence features: GATTAC B epitope in protein: (AGAT T epitope in protein= (20TACACATTAGA) ATT)20ACA Incidentally, although the previous account (1) required a semicolon or line break (carriage return, new line) to terminate each command, and (2) the annotation required introduction by a command such as data and associated square brackets the equivalence of the above is a matter of relatively straightforward parsing, and the terminators and other features are not fundamental.

The big disadvantage of numbering by counting the preceding siblings of a transaction, whether you do it manually as shown previously or use xsl:number, is that each time the instruction is processed, the processor has to gather up all those siblings into a node set and count them. The more siblings you have to count, the more inefficient this becomes. There are two solutions to this problem. The first is to write some XSLT that is the equivalent of a loop with an updating variable. Of course, you cannot update a variable using XSLT, so you have to use a recursive solution in which you pass a parameter that keeps track of the current count. In this case, the template steps through the transaction elements one by one, providing the row for each and then moving on to the sibling that immediately follows, passing along the new count each time:

(2003), for example, reported on a consumer-led research project, which not only added to the existing knowledge of barriers and facilitating factors involved in consumers obtaining employment, but also led to enhancements of the PSR and clinical programs within which the participatory action project was operating The evaluation /research partnership between consumers and nonconsumer administrators and PSR programs located within the agency produced paid work experiences for dozens of consumers in the agency, many of whom went on to independent employment afterward (Zahniser, McGuirk, McQuilken, Flaherty, & High, 1999) Others have discussed roles for consumers in mental health systems that do not involve direct service but can empower consumers within the organization (Mowbray et al, 1997; Salzer, 1997)..

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