Implementing a Case Management Initiative in High-Need Schools.

Implementing a Case Management Initiative in High-Need Schools.
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DOI:
10.1016/j.childyouth.2013.01.026
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发表时间:
2013-05-01
影响因子:
3.3
通讯作者:
Gifford EJ
Gifford EJ
中科院分区:
法学3区
文献类型:
--
作者:
Wells R;Gifford EJ

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各国继续试验各种方法,以改善有复杂需求的人对保健和人类服务的利用。这些努力往往是为了加强个人和家庭对服务的控制,并加强提供者之间的协调。实现这些目标的途径并不十分清楚。这项研究借鉴了两个以前不同的概念框架,以探讨如何71所公立学校实施了团队的方法,以增加家庭和机构的参与,为儿童的风险。纵向数据的结果符合预期会影响实施的核心组成部分,也表明了可持续性,但以独特的方式对该倡议的公立学校设置。对国家负责似乎是一个主要的催化剂,但在某些方面也限制了地方机构按计划参与。学校的惰性可能都破坏了程序,通过一些评估的做法和差距,在行政支持,并支持融入组织惯例和成功的实验随着时间的推移,在增加照顾者的参与。家庭对与多个机构分享信息的犹豫也可能有助于解释为什么无缝协调的目标仍然难以实现。
States continue to experiment with ways of improving health and human service use by people with complex needs. Such efforts have often sought to increase individual and family control over services as well as to enhance coordination among providers. Paths to achieving these goals are not well understood. This study draws on two previously distinct conceptual frameworks to examine how 71 public schools implemented a team approach to increasing family and agency engagement for children at risk. Results from longitudinal data fit the core components expected to affect implementation and also indicated sustainability, but in ways distinctive to the initiative's public school settings. Accountability to the state appeared to be a major catalyst, yet in some respects also constrained local agencies from participating as intended. School inertia may have both undermined the program through some evaluation practices and gaps in administrative support, and supported integration into organizational routines and successful experimentation over time in increasing caregiver involvement. Family hesitation about sharing information with multiple agencies may also help explain why the goal of seamless coordination remains elusive.
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