naa a22 4500 510782086 CHVBK 20180411083251.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11414-012-9307-x doi (NATIONALLICENCE)springer-10.1007/s11414-012-9307-x Balancing Accessibility and Selectivity in 21st Century Public Mental Health Services: Implications for Hard to Engage Clients [Elektronische Daten] [Amy Wilson, Stacey Barrenger, Casey Bohrman, Jeffrey Draine] This research highlights the importance of expanding examinations of service accessibility for hard to engage client populations to include assessments of individuals' ability to gain entrance to services and the system's ability to meet the service needs of particular client populations. The results of this research provide a framework to support these examinations. The increasing levels of selectivity and targeting of mental health services to particular client populations found in this study raise fundamental questions about the goals of service accessibility in 21st century public mental health services generally, and for hard-to-engage clients particularly. These findings also point to the need for examinations of the eligibility criteria and gatekeeping mechanism that are used to target services to particular client populations to determine if they are working as intended and to assess what impact these mechanisms have on hard to engage clients' ability to gain entrance to needed services. National Council for Community Behavioral Healthcare, 2012 Wilson Amy Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Ave, 44106-7164, Cleveland, OH, USA aut Barrenger Stacey School of Social Policy & Practice, University of Pennsylvania, 3815 Walnut St, 19104, Philadelphia, PA, USA aut Bohrman Casey School of Social Policy & Practice, University of Pennsylvania, 3815 Walnut St, 19104, Philadelphia, PA, USA aut Draine Jeffrey School of Social Work, Temple University, Ritter Annex, 5th Floor, 1301 Cecil B. Moore Avenue, 19122, Philadelphia, PA, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/2(2013-04-01), 191-206 1094-3412 40:2<191 2013 40 11414 https://doi.org/10.1007/s11414-012-9307-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-012-9307-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wilson Amy Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Ave, 44106-7164, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Barrenger Stacey School of Social Policy & Practice, University of Pennsylvania, 3815 Walnut St, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Bohrman Casey School of Social Policy & Practice, University of Pennsylvania, 3815 Walnut St, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Draine Jeffrey School of Social Work, Temple University, Ritter Annex, 5th Floor, 1301 Cecil B. Moore Avenue, 19122, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/2(2013-04-01), 191-206 1094-3412 40:2<191 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer