ABSTRACT

Human service organizations are reconfiguring to address diversifying populations and widening inequality. However, institutional change is challenging to implement and fund; resource scarcity and stakeholder buy-in are barriers. In this case study, we analyze a funding-driven, state-initiated program that supports mental health professionals who are people of color in order to decrease health disparities. Analyses of interviews and documents depict how the program struggled with high turnover and uninspired, halfhearted messaging, but was nevertheless well loved. Findings illustrate how the ‘pitch’ and leadership matter in programming for institutional change and its contested nature, a contestation that funding alone cannot temper.

摘要

人类服务组织正在重新配置，以解决人口多样化和不平等加剧的问题。然而，制度变革的实施和资助具有挑战性；资源稀缺和利益相关者的认同是障碍。在本案例研究中，我们分析了一项由资金驱动、由国家发起的计划，该计划支持有色人种的心理健康专业人员，以减少健康差异。对采访和文件的分析描述了该计划如何在高流动率和缺乏灵感、三心二意的信息中挣扎，但仍然深受喜爱。调查结果说明了“音调”和领导力在制度变革规划中的重要性及其有争议的性质，这种争论仅靠资金是无法缓和的。