Beyond context to the skyline: Thinking in 3D

Kimberly Hoagwood, Serene Olin, Andrew Cleek

Research output: Contribution to journalReview articlepeer-review


Sweeping and profound structural, regulatory, and fiscal changes are rapidly reshaping the contours of health and mental health practice. The community-based practice contexts described in the excellent review by Garland and colleagues are being fundamentally altered with different business models, regional networks, accountability standards, and incentive structures. If community-based mental health services are to remain viable, the two-dimensional and flat research and practice paradigm has to be replaced with three-dimensional thinking. Failure to take seriously the changes that are happening to the larger healthcare context and respond actively through significant system redesign will lead to the demise of specialty mental health services.

Original languageEnglish (US)
Pages (from-to)23-28
Number of pages6
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Issue number1
StatePublished - Jan 2013


  • Children
  • Community-based
  • Families
  • Healthcare
  • Mental health services

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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