Department of Public Administration, University of North Texas, United States.
Disasters. 2012 Jul;36(3):514-32. doi: 10.1111/j.1467-7717.2011.01262.x. Epub 2011 Nov 8.
This paper explores the provision of disaster-related behavioural and mental health (DBH) services as a problem of institutional collective action in the United States. This study reviews the challenges that providers have in surmounting multi-organizational disconnects, unstable professional legitimacy, ambiguous information, and shifting disaster needs in developing a system for delivering DBH services. Based on the adaptive governance framework, it argues that existing protocols such as the National Incident Management System (NIMS) and Incident Command System (ICS) may be helpful in advancing collective action, but that real progress will depend on a recognition of norms, expectations, and credentials across many spheres-in other words, on the ability of responders to continuously adjust their procedures and administrative boundaries for behavioural health institutions.
本文探讨了在美国，提供与灾害相关的行为和心理健康（DBH）服务作为机构集体行动的问题。本研究回顾了提供者在克服多组织脱节、不稳定的专业合法性、模糊信息以及在为提供 DBH 服务开发系统时不断变化的灾害需求方面所面临的挑战。基于适应性治理框架，本文认为，现有的协议，如国家事故管理系统（NIMS）和事故指挥系统（ICS），可能有助于推进集体行动，但真正的进展将取决于对许多领域的规范、期望和凭证的认识——换句话说，取决于响应者不断调整其行为健康机构的程序和行政边界的能力。
