Beyond Context to the Skyline: Thinking in 3D |
| |
Authors: | Kimberly Hoagwood Serene Olin Andrew Cleek |
| |
Affiliation: | 1. New York University Medical Center – Child Study Center, New York, NY, USA 2. New York University, New York, NY, USA
|
| |
Abstract: | Sweeping and profound structural, regulatory, and fiscal changes are rapidly reshaping the contours of health and mental health practice. The community-based practice contexts described in the excellent review by Garland and colleagues are being fundamentally altered with different business models, regional networks, accountability standards, and incentive structures. If community-based mental health services are to remain viable, the two-dimensional and flat research and practice paradigm has to be replaced with three-dimensional thinking. Failure to take seriously the changes that are happening to the larger healthcare context and respond actively through significant system redesign will lead to the demise of specialty mental health services. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|