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INTRODUCTION 7

PART I. THE SOCIETAL ORGANIZATION OF MENTAL HEALTH SERVICES 13

Theoretical Perspectives 15

1. Institutional and Organizational Rationalization in the Mental Health System 15

2. Systems Within Systems: The Mental Health Sector 31

3. Conceptualizing Mental Health Delivery Systems: Organizational Theory Applied 53

Data Sources: Origins, Uses, Limitations 77

4. The Origins of American Psychiatric Epidemiology 77

5. Mental Health Systems Research: Adequacy of Available Organizational and Systems Data 97

PART II. THE COMMUNITY ORGANIZATION OF MENTAL HEALTH SERVICES 131

Issues in Conceptualizing Community Systems 133

6. Community Mental Health Centers as Human Service Organizations 133

7. International or Interprofessional Relationships: A Case of Mistaken Identity? 147

Interorganizational Models and Methods 159

8. Models of Local Mental Health Delivery Systems 159

9. Interorganizational Networks in Mental Health Systems: Assessing Community Support Programs for the Chronically Mentally Ill 197

PART III. LINKING SOCIETAL AND COMMUNITY SYSTEMS 231

10. Institutional Context and Strategy: A Framework for the Analysis of Mental Health Policy 233

11. Linked Systems: Drug Abuse and Mental Health Services 277

About the Contributors 309