Modernizing Mental Health Services: Mission Impossible?

  • Alex Berland

DOI: 10.1023/A:1023528225611

Cite this article as:
Berland, A. Adm Policy Ment Health (2003) 30: 219. doi:10.1023/A:1023528225611


Managing complex change initiatives can be a risky and controversial task. Hargrove and Glidew's (1990) model of “impossible jobs” defines typical obstacles: constituency conflict, perceptions of client legitimacy, respect for professional authority, and the strength of the agency myth. The author uses this model to describe his experiences while implementing major changes within British Columbia's community mental health system and provincial psychiatric hospital. Coping strategies include coalition building, public education, meaningful stakeholder participation, systemic feedback, mutual aid, and staff development.

mental health systems Canada change leadership evidence-based practice 

Copyright information

© Human Sciences Press, Inc. 2003

Authors and Affiliations

  • Alex Berland
    • 1
  1. 1.Department of Health Care and Epidemiology, Faculty of MedicineUniversity of British Columbia. Strategic Resource GroupVancouverCanada

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