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Health administration: devolution philosophy heads towards a better tomorrow.

G Wolfson, P Dunham

    Health and Social Service Journal
    |October 17, 1979
    PubMed
    Summary

    Claybury Mental Illness Hospital implemented greater delegation of authority and responsibility. This devolutionist model has proven successful, offering a potential future for other mental health services.

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    Area of Science:

    • Healthcare management
    • Mental health services administration
    • Organizational psychology

    Background:

    • The concept of devolution in healthcare, involving increased delegation of authority and responsibility, has been advocated by various bodies, including the Royal Commission.
    • Recent governmental changes have shown support for such organizational restructuring in public services.

    Purpose of the Study:

    • To examine the practical implementation and outcomes of a devolved management structure at Claybury Mental Illness Hospital.
    • To assess the effectiveness and potential replicability of this model for other mental health institutions.

    Main Methods:

    • Case study analysis of Claybury Mental Illness Hospital's organizational changes.
    • Evaluation of the 'greater degree of delegation of authority and responsibility' in practice.
    • Qualitative assessment of the hospital's operational success post-devolution.

    Main Results:

    • Claybury Mental Illness Hospital has successfully implemented a devolved management structure.
    • The hospital demonstrates that increased delegation of authority and responsibility can be effective.
    • The model implemented at Claybury is presented as a working example for future adoption.

    Conclusions:

    • The devolved management model at Claybury Mental Illness Hospital is a successful and functioning system.
    • This case study suggests that the 'devolutionist's dream' of greater delegation is achievable and effective in mental health settings.
    • Claybury's experience offers a valuable precedent for other mental health organizations considering similar reforms.

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