Cooperation and compromise a network response to conflicting institutional pressures in community mental health

Keith G. Provan, Kimberley R. Isett, H. Brinton Milward

Research output: Contribution to journalArticle

96 Scopus citations

Abstract

This article examines the evolution of a community-based network of mostly nonprofit health and human service agencies providing services to people with mental illness. The network was formed in response to a major shift in the state's funding mechanism from fee-for-service to managed care. When confronted with conflicting institutional pressures from the state and the profession, the response was one of strategic balancing and compromise through development of an interorganizational network rather than by the passive conformity of individual agencies. How this network evolved and how compromise was achieved was examined. Data were collected shortly after the new system was first introduced and then 4 years later to allow longitudinal analysis of network evolution.

Original languageEnglish (US)
Pages (from-to)489-514
Number of pages26
JournalNonprofit and Voluntary Sector Quarterly
Volume33
Issue number3
DOIs
StatePublished - Sep 1 2004

Keywords

  • Cooperation/collaboration
  • Institutional theory
  • Mental health
  • Organizational networks

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)

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