New and borrowed strategies for mental health systems in the decade of the 1990s.
Use of the paradigm shifts advocated by futurists and the supporters of total quality management can facilitate access to new options for mental health systems. New views and innovative systems, however, become difficult to maintain in the context of increasingly rapid and unexpected change occurring in the environment. One strategy that can be employed is the use of leverage, a term usually associated with finance or politics.
Marshall
P E
PE
Northern Virginia Mental Health Institute, Falls Church, VA 22042.
D003156:Community Mental Health Services / Q000191:economics / Q000458:organization & administration*; D003659:Decision Making, Organizational; D003688:Deinstitutionalization / Q000458:organization & administration; D006801:Humans; D009518:New York; D009936:Organizational Innovation; D010865:Pilot Projects; D010934:Planning Techniques; D011209:Power, Psychological; D015397:Program Evaluation; D011635:Public Health Administration / Q000191:economics; D012040:Regional Health Planning / Q000458:organization & administration*