1st Edition

Designing and Operating a System of Care in Behavioral Health Solutions to Fragmentation in Mental Health

By Stuart Koman, Robert J. Keane Copyright 2025
    176 Pages 2 B/W Illustrations
    by Routledge

    176 Pages 2 B/W Illustrations
    by Routledge

    Solutions to Fragmentation in Behavioral Health Services: Designing and Operating an Integrated System of Care proposes a pathway to combat the current fragmentation of mental health services.

    Drawing on the authors’ 25 years of experience in the private and public sectors, this book develops a constellation of integrated treatment services to provide a cohesive path to recovery for individuals with mental or behavioral disorders. Koman and Keane embrace the request by patients and their families to be “at the table” in making decisions about their care and to influence how this care is provided by professionals and institutions.

    This is an invaluable reference for mental and behavioral health professionals seeking a better way to provide effective mental health services to clients and their families.


    Chapter 1: Toward a Definition of a Behavioral Health System of Care                          

    Chapter 2: Properties of a Behavioral Health System of Care:  Pillars    

    Chapter 3: Objectives of a Behavioral Health System of Care and Its’ Components

    Chapter 4: Stakeholders and Design Considerations

    Chapter 5: How Does a Behavioral Health System of Care Work?

    Chapter 6: Rules of the Road: Key Operating Principles in a Behavioral Health System of Care

    Chapter 7: Culture: The People Make it Work

    Chapter 8:  Leading a Behavioral Health System of Care

    Chapter 9:  Business Considerations

    Chapter 10: Anticipating the Future


    Stuart L. Koman is co-founder, former president, and CEO of Walden Behavioral Care. For over 25 years, he has developed innovative behavioral health care services and products in private and public sectors with an emphasis on advanced clinical design and sound business planning.

    Robert J. Keane, is a senior behavioral health administrator with more than 40 years of experience treating diverse patient populations within the mental health system.  He is a recognized expert on adolescent eating disorders and the challenges of isolation that teens experience through social media.

    “In this very readable text, Koman and Keane share essential lessons they have learned during 40 years of work in behavioral health systems of care.  They describe why systems of care are needed, how they can be designed and operated effectively, how they can achieve good person-centered outcomes, and what the future is likely to portend. Excellent case studies and examples are provided at every step on this delightful journey. Students embarking on graduate training in behavioral healthcare will find this text to be very useful, as will system of care managers, clinicians, and consultants seeking to improve care access, quality, and outcome, while controlling cost. A practical text of this type is long overdue in the behavioral healthcare field.”

    Ron Manderscheid, PhD, Adjunct Professor, Bloomberg School of Public Health, Johns Hopkins University & Suzanne Dworak Peck School of Social Work, University of Southern California   

    “The authors offer a comprehensive evaluation of the history of mental health care and practical guide to creating a true system of behavioral health care to facilitate excellent treatment and a path to individual healing and recovery. Given the explosion of demand for behavioral health post pandemic, this book could not be timelier.”

    Marylou Sudders, MSW, ACSW – former Commissioner of Mental Health and Secretary of Health and Human Services, Commonwealth of Massachusetts, USA

    “Two dedicated and experienced experts provide a guide in mission driven care while balancing clinical and business concerns.  Having accomplished this dance in multiple settings, the authors share best practices to follow, and examples of lessons learned.  This book is a must read for entrepreneurs as well as mental health leaders navigating the changing behavioral health landscape.”

    Kenneth L Weiner, M.D.  Founder of Eating Recovery Center and Pathlight Behavioral.