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Changing the System by Changing the Workforce

Employing Consumers to Increase Access, Cultural Diversity, and Engagement

Bibliographic Data

ID11054679
AuthorsMelodie Wenz-Gross (0000-0002-5427-0028, Department of Psychiatry University of Massachusetts Medical School Worcester MA USA, corresponding author), Toni DuBrino Irsfeld (Department of Psychiatry University of Massachusetts Medical School Worcester MA USA), Tammy Twomey (Department of Psychiatry University of Massachusetts Medical School Worcester MA USA), Ana Pérez (0000-0001-8462-6833, Department of Psychiatry University of Massachusetts Medical School Worcester MA USA), Ana Belén Pérez (0000-0001-9655-817X, University of Massachusetts Chan Medical School), Judith Thompson (0000-0002-2118-1889, Counseling, Psychology and Community Outreach Services Worcester Public Schools Worcester MA USA), Martha Wally (Counseling, Psychology and Community Outreach Services Worcester Public Schools Worcester MA USA), Barbara Colleton (Fitchburg MA USA), Christine Kroell (Community HealthLink, Inc. Worcester MA USA), Steven K McKeown (Worcester District Court Worcester MA USA), Peter Metz (0000-0002-0592-9850, Department of Psychiatry University of Massachusetts Medical School Worcester MA USA)
Year2012
Volume49
Issue3-4
Pages546-555
Publication date2012-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Community Psychology (JOURNAL)
Journal identifiersISSN: 0091-0562 • E-ISSN: 1573-2770
PublisherWiley (PUBLISHER • GB)
DOI10.1007/s10464-011-9473-7
PMID21947874
OpenAlexW2070290994
LanguageEN
Citations received4
References cited5

Services to families have traditionally been delivered in a medical model. This presents challenges including workforce shortages, lack of cultural diversity, lack of training in strength‐based work, and difficulty in successfully engaging and retaining families in the therapy process. The system of care (SOC) effort has worked to establish formal roles for caregivers in SOC to improve services. This paper provides an example of one community's efforts to change the SOC by expanding the roles available to caregivers in creating systems change. It describes the model developed by Communities of Care (CoC), a SOC in Central Massachusetts, and its evolution over a 10 year period. First person accounts by system partners, caregivers hired into professional roles as well as a family receiving services, demonstrate how hiring caregivers at all levels can change systems and change lives, not only for those being served but for the caregiver/professionals doing the work. It also demonstrates, however, that change at the system level is incremental, takes time, and can be fleeting unless an ongoing effort is made to support and sustain those changes

Business · Cultural diversity · Culture change · Diversity (politics) · Economic shortage · Government (linguistics) · Health psychology · Political science · Process (computing) · Public health · Public relations · Sociology · Work (physics) · Workforce · Computer Science · Engineering · Healthcare innovation and challenges · Medicine · Nursing · Psychology

  • Community participation in general health initiatives in high and upper-middle income countries

    Open Access•Fiona Leh Hoon Chuah, Aastha Srivastava et al.•Social Science & Medicine•2018

  • Moving Forward with Systems of Care

    Open Access•Ryan P Kilmer, James R Cook•American Journal of Community…•2012

  • Sustaining and Expanding Systems of Care to Provide Mental Health Services for Children, Youth and Families Across America

    Open Access•Bethany D Miller, Gary M Blau et al.•American Journal of Community…•2012

  • Systems of Care

    Open Access•James R Cook, Ryan P Kilmer•American Journal of Community…•2012

  • Unmet Need for Mental Health Care Among U.S. Children

    Sheryl Kataoka, Sheryl H Kataoka et al.•American Journal of Psychiatry•2002

  • Transforming Mental Health Care for Children and Their Families

    Larke Huang, Beth A Stroul et al.•American Psychologist•2005

Unique citing works4
Citations per year0,29
Citation span2012 - 2018 (7)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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