March 11, 2002 The Changing Behavioral Health and Social Service Landscape Implications For Managers In the Field "No man is an island entire of it self…" these words are as true today as they were in the sixteenth century when written by the poet John Donne. And just as they apply to the human condition, they aptly describe the position of organizations, which exist within concentric circles of local, state and national systems that are constantly evolving in response to economic, technological, and demographic trends. Recognizing these connections, and the implications and impact of such . . .