Gabel S
Department of Psychiatry and Behavioral Sciences, Children's Hospital, Denver, CO 80218-1088.
Adm Policy Ment Health. 1998 Sep;26(1):3-19. doi: 10.1023/a:1021261102374.
Mental health organizations are in the midst of massive changes brought about by managed care. This paper explores attitudes and reactions of leaders in mental health organizations to these changes. The leader's own conflicts regarding this approach to mental health care is a major determinant of why some organizations adapt more readily than others. Strategies for leaders that recognize the need to address conflict within the individual and the organization are discussed. The importance of facilitating dynamic interactional processes between leaders and non-leaders in regard to mutual expectations also is emphasized.
心理健康组织正处于管理式医疗带来的巨大变革之中。本文探讨了心理健康组织领导者对这些变革的态度和反应。领导者自身在这种心理健康护理方式上的冲突是一些组织比其他组织更容易适应的主要决定因素。文中讨论了领导者认识到解决个人和组织内部冲突的必要性的策略。还强调了促进领导者与非领导者之间就相互期望进行动态互动过程的重要性。