An Exploratory Study of Conflict and Its Management in Systems of Care for Children with Mental, Emotional, or Behavioral Problems and Their Families

An Exploratory Study of Conflict and Its Management in Systems of Care for Children with Mental, Emotional, or Behavioral Problems and Their Families
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DOI:
10.1007/s11414-014-9448-1
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发表时间:
2015-07-01
影响因子:
1.9
通讯作者:
Blanch, Andrea K.
Blanch, Andrea K.
中科院分区:
医学4区
文献类型:
--
作者:
Boothroyd, Roger A.;Evans, Mary E.;Blanch, Andrea K.

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自1993年以来,药物滥用和精神健康服务管理局已投资10多亿美元,在173多个当地社区建立护理系统(SOC),为有精神、情绪和行为问题的儿童及其家人提供服务。SOC模式要求家长和专业人员之间以及不同服务部门和机构之间建立有效的伙伴关系。到目前为止,还没有对这些与冲突的存在及其管理有关的机构间伙伴关系进行系统审查。本文报告了对与组织间冲突有关的当前资助的和已毕业的SOC站点的管理委员会成员的调查结果。结果表明,无论系统发展到什么阶段,冲突在SOC中都是普遍存在的。最常见的冲突类型包括目标不一致、人际关系和权力重叠。当冲突发生时,采取了一些管理努力,包括分析冲突和制定战略来处理冲突,并在幕后处理冲突。提出了识别和管理冲突的建议。
Since 1993, the Substance Abuse and Mental Health Services Administration has invested more than $1 billion establishing systems of care (SOC) in over 173 local communities to provide services to children with mental, emotional, and behavioral problems and their families. The SOC model requires that effective partnerships be developed between parents and professionals and also among different service sectors and agencies. To date, there has been no systematic examination of these interagency partnerships associated with the presence of conflict and its management. This paper reports the findings from a survey of the members of the governing boards of currently funded and graduated SOC sites related to interorganizational conflict. The results indicated that conflict was common in SOC regardless of the stage of the system's development. The most common types of conflict included incompatible goals, interpersonal relationships, and overlapping authority. When conflict occurred, a number of management efforts were used including analyzing the conflict and developing a strategy to deal with it and dealing with the conflict behind the scenes. Suggestions are provided for identifying and managing conflict.