Conclusions
Several conclusions seem to follow from the above literature review and description of the IMH Demonstration Project. First, as authors have found, the boundary between government and nongovernment may be indistinct. Second, factors supporting the creation of enterprises to operate on this indistinct boundary may be similar in mental health to those that obtain in other areas of society, and associated problems in theory and practice may be closely similar. Third, focusing more narrowly on Integrated Mental Health, there seems to be no overriding problems with its exercising, to the degree that it does, powers and responsibilities which perhaps in times past were, and in other settings are, exercised more directly by government. More specifically, the gain in service planning and provision compares favorably with any possible risk which might be thought to be associated with abrogation of particular responsibilities by government.
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Gift, T.E., Marshall, P.E. Delegating governmental responsibility: Issues regarding a Mental Health Demonstration Project. Adm Policy Ment Health 18, 367–372 (1991). https://doi.org/10.1007/BF00707002
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DOI: https://doi.org/10.1007/BF00707002