Service Coordination in Early Childhood Home Visiting: a Multiple-Case Study.
Service Coordination in Early Childhood Home Visiting: a Multiple-Case Study.
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DOI：
10.1007/s11121-023-01558-6
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发表时间：
2023-08
影响因子：
3.5
通讯作者：
Minkovitz, Cynthia S
中科院分区：
文献类型：
--
作者：
Correll, Leeya;West, Allison;Duggan, Anne K;Gruss, Kelsey;Minkovitz, Cynthia S
幼儿家访是一项预防性服务提供战略，旨在促进儿童和父母健康、积极的养育、儿童发展和入学准备以及家庭经济自给自足。为了满足家庭的需要，方案提供了直接服务、转介和与社区服务的联系。因此，服务协调是家访在幼儿保育系统中发挥作用的一个关键组成部分。这个多案例研究描述了服务协调的促进者和障碍，如家访计划的工作人员和家庭所确定的。我们采访了来自美国东部四个当地家访项目的项目经理、主管、家访者和家庭，这些项目具有不同的背景特征，表明他们具有很强的协调能力。使用多案例研究方法，我们分析了数据，以了解每个案例的服务协调的关键促进因素和障碍，并确定和描述案例之间的共同主题。促进者包括机构间的关系和协作;团队合作的文化;敬业、人脉广泛的工作人员;监督;与家人的信任关系;以及温暖的友谊。服务协调的障碍是当地资源的可用性和可获得性有限，其他服务提供者之间的耻辱感，以及家庭对某些服务的矛盾心理。家访工作人员和家属强调，多层次的关系是服务协调的基础，障碍是复杂的，协调是时间和劳动密集型的。将州和地方各级不同利益攸关方群体聚集在一起的联盟可以为幼儿服务提供有意义的协调支持。 在线版本包含补充材料，可通过10.1007/s11121-023-01558-6获得。
Early childhood home visiting is a preventive service delivery strategy that aims to promote child and parent health, positive parenting, child development and school readiness, and family economic self-sufficiency. To meet families’ needs, programs provide a combination of direct services, and referrals and linkages to community-based services. Service coordination is therefore a critical component of home visiting’s role within the early childhood system of care. This multiple-case study describes facilitators and barriers to service coordination, as identified by home visiting program staff and families. We interviewed program managers, supervisors, home visitors, and families from four local home visiting programs in the eastern USA with diverse contextual characteristics that showed evidence of having strong coordination. Using multiple-case study methodology, we analyzed the data to understand key facilitators and barriers to service coordination for each case and identify and describe common themes across cases. Facilitators included interagency relationships and collaboration; a culture of teamwork; dedicated, well-connected staff; supervision; trusting relationships with families; and warm handoffs. Barriers to service coordination were limited availability and accessibility of local resources, perceived stigma among other service providers, and families’ ambivalence toward some services. Home visiting staff and families emphasized that relationships at multiple levels are fundamental to service coordination, barriers are complex, and coordination is time- and labor-intensive. Coalitions that bring together diverse stakeholder groups at the state and local levels can provide meaningful coordination support to the early childhood services. The online version contains supplementary material available at 10.1007/s11121-023-01558-6.
影响因子：
4.2
作者：
Jack SM;Ford-Gilboe M;Davidov D;MacMillan HL;NFP IPV Research Team
通讯作者：
NFP IPV Research Team