Usted es el director ejecutivo de una peque�a agencia de salud condu.pdf

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Usted es el director ejecutivo de una pequea agencia de salud conductual financiada con fondos pblicos que atiende a clientes indigentes. Despus de 10 aos de poder atender a todos los clientes que buscan ayuda, su agencia acaba de recibir un recorte de fondos del 20 % y debe priorizar qu servicios interrumpir y qu clientes rechazar. La comunidad tiene muchas sugerencias: dejar de servir a los inmigrantes indocumentados y sus hijos; dejar de atender a los clientes de abuso de sustancias; limitar todos los clientes a seis sesiones; suspender la prestacin de servicios costosos como la psiquiatra; despedir a consejeros profesionales y contratar paraprofesionales sin licencia; dejar de brindar asesoramiento y, en su lugar, simplemente ofrecer grupos de autoayuda entre pares y clases para padres; atender solo a los ms gravemente enfermos (o a los menos gravemente enfermos); y servir slo a los nios. Cmo abordara la difcil tarea de reducir los servicios en un 20 % de una manera que refleje sus obligaciones ticas como entorno de salud comunitario? Cmo comunicara esto a sus partes interesadas? Cules son las cuestiones ticas y los lmites a considerar? Cmo tomara una decisin final sobre qu eliminar de su programa? Por favor, proporcione citas..

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