Neglected organization and management issues in mental health systems development
- James R. Greenley Ph.D.
- … show all 1 hide
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Fragmented and often uncoordinated public services for the more severely mentally ill are often characteristic of the current U.S. mental health system. The creation of local mental health authorities has been promoted as part of a solution, as has happened in Wisconsin at the county level and is championed in the ongoing Robert Wood Johnson Foundation funded innovative service sites for severely mentally ill adults. There are indications that these innovative mental health authorities will fall short of fulfilling their promise. Basic principles from the management and organizations literature are used to identify several organization and management issues that may have been neglected. These include resource management, attention to system goals, monitoring and feedback, and the promotion of desirable interorganizational cultures.
An earlier version of this paper was presented at the 1991 annual meeting of the Midwest Sociological Society, April, 1991, Des Moines, Iowa. The author wishes to thank Leonard Stein, Rockwell Schulz, David McKee, Odin Anderson, and Patricia Littman for helpful comments on an earlier draft of this paper.
Aiken, L.H., Somers, S.A. & Shore, M.F. (1986). Private Foundations in Health Affairs: A Case Study of the Development of a National Initiative for the Chronically Mentally Ill.American Journal of Psychology 41, 1290–1295.
Aiken, M., Dewar, R., DiTomaso, N., Hage, J. & Zeitz, G. (1975).Coordinating Human Services. San Francisco: Jossey-Bass.
Aldaz, R.J., & Stearns, T.M. (1991).Management. Cincinnati: Southwestern Publishing.
Brown, P. (1985).The Transfer of Care: Psychiatric Deinstitutionalization and Its Aftermath. London: Rutledge and Kegan Paul.
Chu, F., & Trotter, S. (1974),The Madness Establishment: Ralph Nader's Study Group Report on the National Institute of Mental Health. New York: Grossman.
Dill, A.E.P., & Rochefort, D.A. (1989). Coordination, continuity, and centralized control: a policy perspective on service strategies for the chronically mentally ill.Journal of Social Issues, 45(3), 145–159.
Druker, P. (1979). Management. London: PAN.
Emerson, R.M. (1962). Power-dependence relations.American Sociological Review, 27, 31–41.
Fishman, H. (1991). CMHC charged with giving inadequate care.The Psychiatric Times, VIII 95, 1–22.
Gaynor, M. (1990). Incentive Contracting in Mental Health: State and Local Relations.Administration and Policy in Mental Health, 18(1) 33–42.
Goldman, H.H., Morrissey, J.P., & Ridgely, M.S. (1990). Form and Function of Mental Health Authorities at RWJ Foundation Program Sites: Preliminary Observations.Journal of Hospital and Community Psychiatry, 41(11) 1222–1230.
Goodrick, D. (1985).A Study of Mental Health Inpatient Services of Fifteen Wisconsin Boards. Wisconsin Office of Mental Health.
Greenley, J.R. (1990). Mental Illness as a Social Problem. In J.R. Greenley (Ed.),Research in Community and Mental Health, 6, pp. 7–40. Greenwich, CT: JAI Press.
Grob, G.N. (1983).Mental Illness and American Society, 1875–1940. Princeton, NJ: Princeton University Press.
Grusky, O., Tierney, K., Holstein, J., Anspack R., Davis, D., Unruh, D., Webster, S., Vandewater, S., & Allen, H. (1986). Models of local mental health delivery systems. In W.R. Scott & B.L. Black (Eds.),The Organization of Mental Health Services: Societal and Community Systems, (pp. 159–195. Beverley Hills, CA: Sage.
Kirk, S., & Greenley, J. (1974). Denying or delivering services?Social Work, 19(4), 439–447
Litwak, E. (1969).Towards the Theory and Practice of Coordination Between Formal Organizations. Ann Arbor: School of Social Work.
Locke, E.A., Feren, D.B., McClaeb, U.M., Shaw, K.N., & Denny, A.T. (1980). The Relative Effectiveness of Four Methods of Motivating Employee Performance. In Duncan, K., M. Greenberg, and D. Wallis (Eds.),Changes in Working Life. N.Y.: Wiley.
Locke, E.A., & Latham, G.P. (1984).Goal Setting: A Motivational Technique That Works. Englewood Cliffs, N.J.: Prentice Hall.
Mintzberg, H. (1973).The Nature of Managerial Work. New York: Harper & Row.
Mount, J.K., & Greenley, J.R. (1989). Interorganizational Properties of Community-Based Service Systems for the Severely Mentally Ill. Paper presented at the 1989 annual meeting of the American Public Health Association, Chicago, IL.
Ott, J.S. (1989).The Organizational Culture Perspective. Chicago: Dorsey Press.
Peters, T.J., & Waterman, R.H. Jr. (1982).In Search of Excellence. New York: Warner Books.
Pfeffer, Jeffrey, & Gerald Salanick (1978).The External Control of Organizations: Resource Dependency Perspective. New York: Harper and Row.
Riessman, F., Cohen, J. & Pearl, A., (Eds.) (1964).Mental Health of the Poor. New York: Free Press.
Rosenberger, J.W. (1990). Central Mental Health Authorities: Politically Flawed?Journal of Hospital and Community Psychiatry, 41(11) 1171.
Rothman, D.J. (1971).The Discovery of the Asylum: Social Order and Disorder in the New Republic. Boston: Little, Brown.
Sarason, S.B. (1976).The Creation of Settings and the Future Societies. San Francisco: Jossey-Bass.
Schulz, R., Greenley, J.R., & Peterson, R.W. (1983). Management, costs and quality of acute inpatient psychiatric services.Medical Care, 21, 911–928.PubMed
Shore, M.F., & Cohen, M.D. (1990). “The Robert Wood Johnson Foundation Program on Chronic Mental Illness: An Overview”Journal of Hospital and Community Psychiatry, 41(11) 1212–1216.
Shoretell, S.M., Becker, S.W., & Neuhauser, D. (1976). The effects of management practices on hospital efficiency and quality of care. In S.M. Shoretell & Brown (Eds.),Organizational Research in Hospitals. Chicago: Blue Cross Association.
Stein, L.I., Diamond, R.J., & Factor, R.M. (1990). A System Approach to the Care of Persons with Schizophrenia. In M.I. Herz, S.J. Keith, and J.P. Docherty (Eds.).Handbook of Schizophrenia, Vol. 5, Psychosocial Therapies. Amsterdam, The Netherlands: Elsevier Science Publishers.
Stein, L.I., & Ganser, L. (1983). Wisconsin's System for Funding Mental Health Service. In J.A. Talbott (Ed.),Unified Health Systems: Utopia Unrealized, (pp. 25–32). San Francisco: Jossey-Bass.
Test, M.A. (1979). Continuity of Care in Community Treatment.New Directions for Mental Health Services, 2, 15–23.
Thompson, J. (1963).Organizations in Action. New York: McGraw-Hill.
Thompson, K.S., Griffith, E.E.H., & Leaf, P.J. (1990). A Historical Review of the Madison Model of Community Care.Hospital and Community Psychiatry.41(6), 625–634.PubMed
Torrey, E.F., Erdman, K., Wolfe, S.M., & Flynn, L.M. (1990).Care of the Seriously Mentally Ill: A Rating of State Programs, (3rd ed.). Public Citizen Health Research Group and National Alliance for the Mentally Ill.
Walsh, A.H., & Leigland, J. (1986).Public Authorities for Mental Health Programs. N.Y.: Institute for Public Administration. Unpublished paper prepared for the Division of Biometry and Applied Sciences, NIMH.
- Neglected organization and management issues in mental health systems development
Community Mental Health Journal
Volume 28, Issue 5 , pp 371-384
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Human Sciences Press
- Additional Links
- Author Affiliations
- 1. Mental Health Research Center, University of Wisconsin-Madison, 1180 Observatory Drive, Room 2454, Social Science Building, 53706, Madison, WI