COORDINATION WITHIN CHILD MENTAL HEALTH SERVICE SYSTEMS

拟议研究的目的是调查影响 有利于组织间协调，并改变 发展儿童心理健康组织之间的相互作用 服务体系 该研究计划将通过一个 对1991年和1993年收集的服务系统数据进行了二次分析， 两个北卡罗来纳州县作为CASSP研究评估的一部分， 由罗伯特·伍德约翰逊基金会赞助的儿童倡议。的 本研究的具体目的是：1）检验预测 情境因素的影响（即，机构拥有的知识 关于彼此的目标和服务、领域相似性和满意度 机构之间）和交易结构和过程（即，程度 帮助目标实现，影响塑造心理健康 政策和机构间安排的正式化）， 各组织之间资源流动的强度（即，客户推荐， 资金交流、信息交流）和活动协调; 2） 比较有利于资源流动的因素的变化， 协调城市和农村护理系统内的活动;以及3） 评估资源流动和协调模式随时间的变化 在服务网络分组内，特别是在各机构之间 与儿童福利服务机构和机构之间的互动 青少年司法服务。 横截面和纵向数据 将使用二元（或成对关系）作为单位进行检查 的分析。 将采用二元和多元统计。 研究结果将有助于心理健康的知识基础 服务研究领域关于机构间合作，在交付 严重情绪困扰儿童的社区支援服务 干扰.

The objective of the proposed research is to investigate factors that are conducive to interorganizational coordination, and changes in patterns of interactions between organizations within developing child mental health service systems. The research plan will be carried out through a secondary analysis of service system data collected in 1991 and 1993 in two North Carolina counties as part of a CASSP research evaluation of the Children's Initiative sponsored by the Robert Wood Johnson Foundation. The specific aims of this research are: 1) To test hypotheses predicting the influence of situational factors (i.e., knowledge that agencies possess about each other's goals and services, domain similarity, and satisfaction between agencies) and transactional structure and processes (i.e., extent of helpfulness in goal attainment, influence in shaping mental health policy, and formalization of interagency arrangements) on the nature and intensity of resource flows between organizations (i.e., client referrals, funding exchange, information exchange) and coordination of activities; 2) To compare variation in factors conducive to resource flows and coordination of activities within urban and rural systems of care; and 3) To assess changes over time in patterns of resource flows and coordination within service network subgroups, specifically between agencies interacting with child welfare services and between agencies interacting with juvenile justice services. Cross-sectional and longitudinal data will be examined using the dyad (or pair-wise relationships) as the unit of analysis. Bivariate and multivariate statistics will be employed. Findings will contribute to the knowledge base in the mental health services research field about interagency collaboration in the delivery of community support services to children with serious emotional disturbances.