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Updated: Aug 30, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Modernizing mental health services: mission impossible?
1Department of Health Care and Epidemiology, Faculty of Medicine, University of British Columbia, Canada. aberland@telus.net
Abstract:
Managing complex change initiatives can be a risky and controversial task. Hargrove and Glidew's (1990) model of "impossible jobs" defines typical obstacles: constituency conflict, perceptions of client legitimacy, respect for professional authority, and the strength of the agency myth. The author uses this model to describe his experiences while implementing major changes within British Columbia's community mental health system and provincial psychiatric hospital. Coping strategies include coalition building, public education, meaningful stakeholder participation, systemic feedback, mutual aid, and staff development.
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