Innovating in Community Mental Health

ROCKWELL SCHULZ is Professor of Preventive Medicine Programs in Health Management and Director of the Wisconsin International Center for Health Services Studies at the University of Wisconsin Medical School.JAMES R. GREENLEY is Professor of Psychiatry and Sociology and Director of the Mental Health Research Center at the University of Wisconsin, Madison.

• Preface Acknowledgments A Framework for Innovation and Change to Improve the Quality of Life of Persons with Severe and Persistent Mental Illness Persistent and Severe Mental Illness: Its Impact, Status, and Future Challenges by Leonard I. Stein Theory and Framework for Evaluating the Implementation of Change by Rockwell Schulz and Gregory Greenberg deteriorating health-care system in the US a nd the toughchoices that will have to be made in the future before atotal collapse occurs in the not-to o-distant future. Thebook is well written and avoids the pitfalls that couldtrap the author in cliches and hyper-speculation. Thereview of the current system is detailed and takes greatcare to explain to the reader how we got where we are now inhealth-care. In the second section, current needs areexamined with emphas is on long-term care, AIDS, and theright to die. The final section provides a comparison withthe Canadian system and explain s the consequences of notbeginning health-care reform now. Useful in health-caremanagement and administration studies. ChoiceCH1095AAJPH596BIR495PrefaceIntroductionA System in Need of DirectionDissatisfaction Widespread--Our Leaders R eceive a Wake-Up CallThe Changing Relationship wit h Your DoctorThe Growth of Managed Care and the BacklashThe Challenge to Prov iders