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Abstract

Change does not always result in improvement but all improvement requires change. Resistance to change is one of the primary reasons that changes fail in an organization. According to a systematic review of adopting a change in a medical setting resistance to change was a main barrier in adopting the change. The two common reasons for failure of improvement initiatives are a) the struggles of leaders in healthcare worldwide to adapt to change and b) motivations of leaders to foster change and improvement. Motivation is the inspiration that moves beyond financial incentive to having the inclination to pursue goals through passion and persistence. Other reasons for resistance to change are that changes disturb the status quo by implementing new evidence applicable to the work context. At a private outpatient mental health clinic in California (CAC) only six out of 43 providers that provide mental health care volunteered to join a newly established innovations committee. The project described in this paper will focus on the providers' perceptions of implementing Kotter's Model of Change in introducing a system wide change in the clinic.

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