scholarly journals Decision Making in Psychiatric Reform: A Case Study of the Czech Experience

2019 ◽  
Vol 13 (2) ◽  
pp. 15-27
Author(s):  
Christopher G. Hudson ◽  
Eva Dragomirecka
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Community Mental Health ◽  
Planning Process ◽  
The United States ◽  
Soviet Bloc ◽  
Case Study Methodology ◽  
Psychiatric Reform ◽  
Trade Offs

Abstract This study examines the initial impact of a broadly participatory planning process in the Czech Republic during 2016–2017, aimed at both reducing inpatient care and expanding community mental health systems, on policy and programmatic decision making. A central focus of the study involves the trade-offs between and efforts to integrate shared decision making with evidence-based planning methods within the context of a national psychiatric reform strategy, particularly one involving a former Soviet bloc state. Given the uniqueness of the Czech experience, an exploratory case study methodology is used, one involving ten interviews with key informants and examination of a wide variety of documents. Results include the development of broad new decision and oversight structures, and the initial implementation of community mental health services. The nation faces some of the same trade-offs found elsewhere, such as in the United States, between an inclusive participatory process, and one that systematically incorporates empirical rational and evidence and best practices within bounded parameters. Implications for new psychiatric deinstitutionalization initiatives are identified, including development of a national mental health authority, a professional workforce, new funding strategies, multi-level service coordination, mechanisms to assure transparency, among others.

Integrated Care Case Study: A Community Mental Health Center and a Federally Qualified Health Center

2012 ◽  
Author(s):  
Jennifer E. Cato-Degroff ◽  
Brian Desantis ◽  
Fred Michel ◽  
Michael D. Welch ◽  
Kelly Phillips-Henry ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Center ◽  
Integrated Care ◽  
Community Mental Health Center ◽  
Mental Health Center ◽  
Federally Qualified Health Center

Formulating another’s report of troubles in peer support

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher Pudlinski
Keyword(s):  
Mental Health ◽  
United States ◽  
Community Mental Health ◽  
Conversation Analysis ◽  
Peer Support ◽  
Mental Health System ◽  
The United States ◽  
Telephone Support ◽  
Healthcare Settings ◽  
Professional Perspective

This study stems from an interest in peer support talk, an underexplored area of research, and in how supportive actions such as formulated summaries function in comparison to more professional healthcare settings. Using conversation analysis, this study explores 35 instances of formulations within 65 calls to four different ‘warm lines’, a term for peer-to-peer telephone support within the community mental health system in the United States. Formulations can be characterized across two related axes: client versus professional perspective, and directive versus nondirective. The findings show that formulations within peer support were overwhelmingly nondirective, in terms of meeting institutional agendas to let callers talk. However, formulations ranged from client-oriented ones that highlight or repeat caller reports to those which transform caller reports through integrating past caller experiences or implicit caller emotions. These tactics are found to have similarities to how formulations function in professional healthcare settings.

Innovation in Mental Health Policy; Community Mental Health in the United States of America, 1965–1980

1983 ◽  
Vol 1 (4) ◽  
pp. 447-468 ◽  
Author(s):  
C J Smith
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Policy ◽  
Community Mental Health ◽  
United States Of America ◽  
Reagan Administration ◽  
Mental Health Policy ◽  
The United States ◽  
National Mental Health ◽  
Mental Health Centers

The Community Méntal Health Centers (CMHC) legislation in the early 1960s was the first real attempt at a national mental health policy in the United States of America. Federal funding was made available for the establishment of 1500 centers across the country. The goal was to provide access to quality mental health care for all US citizens by 1980. As a result of prolonged criticisms, the legislation was repealed by the incoming Reagan Administration in the early 1980s, In this paper, the twenty-year lifespan of this ‘innovation’ in mental health policy is reviewed and an evaluation of some of its most pervasive criticisms are presented.

Sanctioned to Survive: How Foreign Firms Perform when Economic Sanctions Affect their Business Relationships—A Study of Contemporary Economic Sanction Actions and their Impact

2017 ◽  
Vol 16 (5) ◽  
pp. 501-538
Author(s):  
Blaine Stout
Keyword(s):  
Single Case ◽  
Economic Sanctions ◽  
The United States ◽  
Study Strategies ◽  
Foreign Firms ◽  
Case Study Methodology ◽  
Exxon Mobil ◽  
Historical Accounts ◽  
The Impact

Abstract The intent of this study is to examine the effects of economic sanctions on companies with significant fdi operating in the sanctioned country. Using case study methodology, we consider the impact of sanctions imposed on the Russian Federation (rf) by the United States of America for its intrusion into the sovereign rights of Ukraine. Past sanction events in South Africa and pre-rf formation are reviewed. Two measurable frameworks are developed to study strategies based on ‘divestment and non-divestment’ (Malone and Goodin 1997) dimensions and coupled with variables related to ‘direct and indirect’ effects on financial performance, forgone potential, (Losman 1988) and foreign direct investment (Biglaiser and Lektzian 2011). This research also relies on the historical accounts of Hufbauer et al. (2007) for the compilation of facts related to economic sanctions. Through literature review, the study asks: 1) Strategically, how does a company respond to the economic sanctions imposed by its home country on the sanctioned country in which it has significant fdi? 2) Financially, how do economic sanctions affect the company’s performance and fdi? and 3) Organizationally, how do economic sanctions affect the relationships with those recipient companies of fdi? The study focus is on the energy industry in which the rf economy relies upon for 40 percent of its sustainability and the company of focus is Exxon Mobil (xom). The author readily acknowledges that a single case study may not provide the degree of conclusiveness found in a cross-case study format. However, the outcome of the study does provide a template for use in future case reviews.

scholarly journals Strategic Planning to Advance Equity on Campus: A Case Study at Portland State University

2018 ◽  
Vol 29 (1) ◽  
Author(s):  
Marisa Zapata ◽  
Stephen Percy ◽  
Sona Karentz Andrews
Keyword(s):  
Decision Making ◽  
Strategic Planning ◽  
Planning Process ◽  
Board Of Trustees ◽  
Unintended Consequences ◽  
Institutional Racism ◽  
State University ◽  
Diversity And Inclusion ◽  
Portland State University

Propelled by many factors, including a newly appointed Board of Trustees responsible for governance of our university, resource shortages, and enrollment swings, Portland State University embarked on a strategic planning effort in 2014 with the intent of reunifying a divided campus and creating a bold vision for moving forward in the next five years. While committed from the start to goals of diversity and inclusion, the planning process itself generated greater awareness of and commitment to equity—a bolder vision of empowerment that creates a responsibility to understand and mitigate negative, but often unintended consequences of, campus decisions and action—particularly as they impact groups that have experienced institutional racism and injustice. Equity emerged not only as a goal, with intendant initiatives for action, but also as a commitment to conscientious ongoing attention to decision-making that embraces utilization of an equity lens.

scholarly journals AN EXAMINATION OF ONE FACTOR IN SCHOOL REFORM: INCREASED TEACHER ACCOUNTABILITY IN TWO URBAN SCHOOL DISTRICTS

2018 ◽  
Vol 11 (27) ◽  
pp. 329-344
Author(s):  
Nadine Bonda
Keyword(s):  
Student Achievement ◽  
School Districts ◽  
School Reform ◽  
Standardized Testing ◽  
Planning Process ◽  
The United States ◽  
Urban School Districts ◽  
Case Study Approach ◽  
Study Approach

Beginning in 2009, and with the passage of the American Recovery and Reinvestment Act of 2009, school districts across the United States began to be held to higher standards and their progress publicly reported.  Student achievement began to be measured by standardized testing and great efforts were being made to reduce the achievement gap. This paper is based on a five-year study of teacher evaluation in two urban districts in Massachusetts where improving teacher practice was seen as an important factor in raising student achievement. This research studied efforts to address those teachers who were identified as underperforming and were supported through individual improvement plans.  This paper used a case study approach to show what the practices of a sampling of these teachers looked like, teachers’ reactions to being rated unsatisfactory, and teachers’ reactions to the improvement planning process.

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