Question

You are the executive director of a small publicly funded behavioral health agency that serves indigent clients. After 10 years of being able to serve all clients seeking help, your agency has just received a 20% funding cut and must prioritize which services to discontinue and which clients to turn away. The community has many suggestions: stop serving undocumented immigrants and their children; stop serving substance abuse clients; limit all clients to six sessions; discontinue providing expensive services like psychiatry; lay off professional counselors and hire non-licensed paraprofessionals; stop providing counseling and instead simply offer peer self-help groups and parenting classes; serve only the most seriously ill (or the least seriously ill); and serve only children. How would you approach the difficult task of cutting services by 20% in a manner that reflects your ethical obligations as a community health setting? How would you communicate this to your stakeholders? What are the ethical issues and boundaries to consider? How would you make a final decision about what to cut from your program?

Please, Provide citations.

Answer 1

Answer- As health is the one of the most necessary portion of our lives. So that we can't cut any percentage in health support. Also if 20 % of funding is to be cut when agency's condition is good, it effect less. But if the condition in like ridiculous 20% can cause problems. So all we can do is cut into profit margin. Workers, agents salaries should be cut down. All we do to provide best service in all situations.We can not cut into our service such that harm people in any way. And try to earn more fundings. Sometimes we can take help from govt. or NGO's. These are my some basic ideas