COORDINATION WITHIN CHILD MENTAL HEALTH SERVICE SYSTEMS

儿童心理健康服务系统内的协调

• 批准号: 2546321
• 负责人: JEANNE C RIVARD
• 金额: $ 1.26万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-10-01 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2546321
• 关键词: behavioral /social science research tag; child mental health service; community mental health services; data collection; health care cost /financing; health care policy; health care service evaluation; health related legal; health system agency; human data; rural area; social service; social service evaluation; statistics /biometry; urban area

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.

拟议研究的目标是调查以下因素 有利于组织间协调，并改变 发展儿童心理健康的组织之间的互动 服务体系。研究计划将通过一个 年收集的1991年和1993年服务系统数据的二次分析 北卡罗来纳州的两个县作为CASSP研究评估的一部分 儿童倡议由罗伯特·伍德·约翰逊基金会赞助。这个 这项研究的具体目的是：1)检验预测 情景因素(即机构拥有的知识)的影响 关于彼此的目标和服务、领域相似性和满意度 机构之间)和交易结构和流程(即范围 在实现目标方面的帮助，在塑造心理健康方面的影响 政策和机构间安排的正规化)关于性质和 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和 协调城乡护理系统内的活动；以及3) 评估资源流动和协调模式随时间的变化 在服务网络小组内，特别是在机构之间 与儿童福利服务机构以及各机构之间的互动 少年司法服务机构。横截面和纵向数据 将以对偶数(或成对关系)为单位进行检查 分析的能力。将使用双变量和多变量统计。 这些发现将有助于心理健康方面的知识基础 关于机构间协作交付的服务研究领域 为严重情绪障碍儿童提供的社区支持服务 骚乱。