Stewardship in mental health policy: inspiration, influence, institution?
The venerable but amorphous concept of stewardship has lately gained prominence in discussions of public policy and management and is sometimes offered as a "strategy" with a distinctive potential to mobilize effective public leadership in the service of broad social missions. In this article we explore how stewardship may be useful to the theory and practice of mental health policy, and, reciprocally, how examples from mental health policy may elucidate the dynamics of stewardship. After examining its key political ingredients--authority, advocacy, and analysis--we discuss the practical challenges in moving stewardship from moral inspiration to institutional reality.
Brown
Lawrence D
LD
Columbia University.
Isett
Kimberley R
KR
Hogan
Michael
M
D000288:Administrative Personnel; D003695:Delivery of Health Care; D006291:Health Policy; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D008605:Mental Health Services / Q000458:organization & administration*; D012941:Social Responsibility