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The modern world is highly organized. Much organization occurs within formal organizations, to the extent that the extensive study of formal organizations has overshadowed other forms of organization. But organization happens not only within, but also outside the context of formal organizations. We define ‘organization’ as a decided order, and we see some decisions as more fundamental than others and have dubbed these decisions ‘organizational elements’. We distinguish five such elements: membership, rules, monitoring, sanctions, and hierarchy. Individuals or organizations can use organizational elements to organize other individuals or organizations, even if they do not belong to the same organization. But organizers do not necessarily use all elements, and all settings are not organized by all elements. In fact, many social settings are only partially organized – even formal organizations. We use the concepts of social relationships and formal organization to specify what we mean by organization and organizational elements and compare organizational elements with other ways in which social relationships develop. We describe the differences between organization and other origins of social order such as institutions and networks. The chapter ends with an overview of the following chapters.
The modern world is highly organized. Much organization occurs within formal organizations, to the extent that the extensive study of formal organizations has overshadowed other forms of organization. But organization happens not only within, but also outside the context of formal organizations. We define ‘organization’ as a decided order, and we see some decisions as more fundamental than others and have dubbed these decisions ‘organizational elements’. We distinguish five such elements: membership, rules, monitoring, sanctions, and hierarchy. Individuals or organizations can use organizational elements to organize other individuals or organizations, even if they do not belong to the same organization. But organizers do not necessarily use all elements, and all settings are not organized by all elements. In fact, many social settings are only partially organized – even formal organizations. We use the concepts of social relationships and formal organization to specify what we mean by organization and organizational elements and compare organizational elements with other ways in which social relationships develop. We describe the differences between organization and other origins of social order such as institutions and networks. The chapter ends with an overview of the following chapters.
This chapter discusses the attempt to develop evidence-based systems for defining, guiding, and monitoring aspects of psychiatric care in the USA. It provides some of the limitations in these approaches and some recommendations about how to deal with the role of a practice-based research network. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) introduction is clear in defining mental disorders as a grouping of symptoms plus either clinically significant distress or impairment in major role functioning. The financial, organizational, and procedural elements affect the flow and characteristics of patients through the system, and ultimately the selection and utilization of treatments for those patients. This process determines the outcome for both the individual and for the population under care. The chapter also explores how to determine the proper mix of these elements to meet the appropriate needs of a population and to achieve better outcomes for individuals.
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