title: Why is better mental health care so elusive?
abstract: OBJECTIVE
  There are numerous barriers to improving healthcare delivery. This article summarizes contemporary theories and research evidence to focus on ways to motivate change within the hospital system to provide better health care.
  
  
  CONCLUSIONS
  Understanding multidisciplinary team processes, recognizing hospitals as systems, and ascertaining the unit culture is a prerequisite for leaders and policy makers to improve mental health practices.
  
  
  CONCLUSIONS
  Finding ways to deliver better health care to people with a mental illness is a high priority, and nurses have a central role to play in this pursuit of excellence.
authors.affiliation: Research Unit, Concord Centre for Mental Health, Sydney South West Area Mental Health Service, Concord Hospital, Sydney, New South Wales, Australia.
authors.forename: Jan
authors.initials: J
authors.lastname: Horsfall
authors.forename: Michelle
authors.initials: M
authors.lastname: Cleary
authors.forename: Glenn E
authors.initials: GE
authors.lastname: Hunt
mesh_terms: D006761:Hospitals; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D024802:Nurse's Role; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration; D058996:Quality Improvement; D012114:Residential Treatment / Q000458:organization & administration*