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Published Online:https://doi.org/10.1176/ps.25.5.308

In 1969 a community mental health center in Harlingen, Texas, began using indigenous mental health workers in a program considered highly successful by almost everyone involved. The role of the workers was only sketchily defined, allowing them considerable flexibility in developing their individual abilities and personal styles. In a study of the factors that contributed to the program's success, the authors examined the extent to which workers and program planners agreed about the duties and responsibilities of the workers, the degree of satisfaction the workers found in their role, and the benefits to clients and the center. Other critical factors were also identified.

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