Citation

Smyth KF, Goodman L, Glenn C. Am. J. Orthopsychiatry 2006; 76(4): 489-502.

Copyright

(Copyright © 2006, American Orthopsychiatric Association, Publisher Wiley Blackwell)

DOI

10.1037/0002-9432.76.4.489

PMID

unavailable

Abstract

Increasing emphasis on specialization in social and mental health services leaves these systems largely unable to attend to marginalized women's complex needs, despite new models designed to ameliorate specialization's impact. In this article, the authors describe how inattention to these women's contexts leaves them ill-served and leaves programs struggling. The authors articulate a new framework of principles and practices that privileges context and community, and describe two programs that use this “Full-Frame Approach.” The authors contend that systemic recognition of full-frame programs as a strategic counterbalance to specialization is a vital component of helping marginalized people and communities move to new levels of health and cohesion.