caa a22 4500 469067616 CHVBK 20180323132912.0 cr unu---uuuuu 170328e19920901xx s 000 0 eng 10.1007/BF02518987 doi (NATIONALLICENCE)springer-10.1007/BF02518987 The societal and organizational contexts of culturally sensitive mental health services: Findings from an evaluation of bilingual/Bicultural psychiatric programs [Elektronische Daten] [Orlando Rodriguez, Johanna Lessinger, Peter Guarnaccia] The Hispanic mental health literature focuses mostly on cultural and clinical issues. This paper argues that researchers and practitioners concerned with mental health services for Hispanics and other minority groups need to pay more attention to the societal and organizational contexts that facilitate or impede the development of effective culturally sensitive psychiatric programs. Utilizing data from an evaluation of three New York psychiatric programs for seriously mentally ill (SMI) Hispanic patients, the paper discusses societal and organizational factors that influenced the programs' development. Among societal forces were the significance of Hispanics as a voting bloc, the political organization of Hispanic mental health professionals, the philosophy of ethnic assimilation in American society, prevailing views about the place of cultural knowledge in psychiatric treatment, and fiscal crises, and the shortage of Hispanic mental health professionals. Among organizational factors, hospital administrative support and program leadership mediated the effects of societal forces upon the programs, while ethnic competition and lack of coordination between the program and other organizational units acted as barriers to the programs' development. The findings are relevant to any innovative mental health service in an organizational setting. Association of Mental Health Administrators, 1992 Rodriguez Orlando Hispanic Research Center, Fordham University, Thebaud Hall, 10458, Bronx, NY aut Lessinger Johanna Hispanic Research Center, Fordham University, Fordham, USA aut Guarnaccia Peter Department of Human Ecology and the Institute for Health Care Policy and Aging Research, Rutgers University, Rutgers, USA aut The journal of mental health administration Springer-Verlag 19/3(1992-09-01), 213-223 0092-8623 19:3<213 1992 19 11414 https://doi.org/10.1007/BF02518987 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02518987 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rodriguez Orlando Hispanic Research Center, Fordham University, Thebaud Hall, 10458, Bronx, NY aut NATIONALLICENCE 700 1- Lessinger Johanna Hispanic Research Center, Fordham University, Fordham, USA aut NATIONALLICENCE 700 1- Guarnaccia Peter Department of Human Ecology and the Institute for Health Care Policy and Aging Research, Rutgers University, Rutgers, USA aut NATIONALLICENCE 773 0- The journal of mental health administration Springer-Verlag 19/3(1992-09-01), 213-223 0092-8623 19:3<213 1992 19 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer