Psychiatrists and Community Mental Health

Normative Versus Utilitarian Incentives

Bibliographic Data

ID2545336
AuthorsEdward W Lehman (corresponding author), Ethna Lehman
Year1976
Volume17
Issue4
Pages364
Publication date1976-12-01
Open AccessNo
TypeARTICLE
VenueJournal of Health and Social Behavior (JOURNAL)
Journal identifiersISSN: 0022-1465 • E-ISSN: 2150-6000
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.2307/2136714
PMID1010917
OpenAlexW2327656655
LanguageEN
Citations received3

The inability to attract adequate numbers of psychiatrists has been a concern of community mental health (CMH) planners for some time. This paper considers whether normative or utilitarian (i.e., economic) inducements have more of an impact on their participation. Data are drawn from a survey of 946 New York area psychiatrists. These data suggest the likelihood of incremental growth among community psychiatrists because organizational involvement, high quality residency training, and "younger generation" status all are linked to normative commitments to CMH values. Moreover, since political orientation is the strongest single determinant of these values, commitments also can be deliberately stimulated through normative appeals. Yet, our principal finding is that severe utilitarian disincentives tend to undercut the effects of normative inducements and commitments. The paper concludes by examining the social policy implications for community mental health staffing of the primacy of utilitarian considerations among psychiatrists

Biology and political orientation · Economics · Incentive · Mental health · Normative · Political science · Politics · Psychiatry · Staffing · Employment and Welfare Studies · Global Health Workforce Issues · Health disparities and outcomes · Law · Medicine · Nursing · Psychology · Social Psychology

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