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Service Coordination by Public Sector Managers in a Human Service Contracting Environment

  • Bowen McBeathEmail author
  • Emmeline Chuang
  • Sarah Carnochan
  • Michael J. Austin
  • Marla Stuart
Original Article
  • 49 Downloads

Abstract

Despite emerging evidence of contracting for evidence-based practices (EBP), little research has studied how managers lead contract-based human service delivery. A 2015 survey of 193 managers from five San Francisco Bay Area county human service departments examined the relationship between contract-based service coordination (i.e., structuring cross-sector services, coordinating client referrals and eligibility, overseeing EBP implementation) and the predictors of managerial role, involvement, and boundary spanning. Multivariate regression results suggested that county managers identified fewer service coordination challenges if they were at the executive and program levels, had greater contract involvement, and engaged in contract-focused boundary spanning. In conclusion, we underscore the organizational and managerial dimensions of contract-based service delivery.

Keywords

Human services Mental health services Contracting Evidence-based practice Collaboration 

Notes

Compliance with Ethical Standards

Conflict of interest

All the author declares that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

It was obtained from all individual participants included in the study.

References

  1. Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10, 11.CrossRefGoogle Scholar
  2. Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Sklar, M. (2014). Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation. Annual Review of Public Health, 35, 255–274.CrossRefGoogle Scholar
  3. Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., Sklar, M., & Horowitz, J. (2017). Discrepancies in leader and follower ratings of transformational leadership: Relationships with organizational culture in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 44, 480–491.CrossRefGoogle Scholar
  4. Aarons, G. A., Green, A. E., Trott, E., Willging, C. E., Torres, E. M., Ehrhart, M. G., & Roesch, S. C. (2016). The roles of system and organizational leadership in system-wide evidence-based intervention sustainment: A mixed-methods study. Administration and Policy in Mental Health and Mental Health Services Research.Google Scholar
  5. Amirkhanyan, A. A., Kim, H. J., & Lambright, K. T. (2012). Closer than “arms length”: Understanding the factors associated with collaborative contracting. American Review of Public Administration, 42, 341–366.CrossRefGoogle Scholar
  6. Argyris, C., & Schon, D. A. (1978). Organizational learning: A theory of action perspective. Reading: Addison-Wesley.Google Scholar
  7. Austin, M. J., Dal Santo, T., & Lewis, D. (2012). Boundary-crossing careers of senior human service administrators: A cross-case analysis. Administration in Social Work, 36, 109–132.CrossRefGoogle Scholar
  8. Baruch, Y., & Holton, B. C. (2008). Survey response rate levels and trends in organizational research. Human Relations, 61, 1139–1160.CrossRefGoogle Scholar
  9. Bryson, J. M., Crosby, B. C., & Stone, M. M. (2015). Designing and implementing cross-sector collaborations: Needed and challenging. Public Administration Review, 75, 647–663.CrossRefGoogle Scholar
  10. Bunger, A. C., Cao, Y., Girth, A. M., Hoffman, J., & Robertson, H. A. (2016). Constraints and benefits of child welfare contracts with behavioral health providers: Conditions that shape service access. Administration and Policy in Mental Health and Mental Health Services Research, 43, 728–739.CrossRefGoogle Scholar
  11. Bunger, A. C., Doogan, N. J., & Cao, Y. (2014). Building service delivery networks: Partnership evolution among children’s behavioral health agencies in response to new funding. Journal of the Society for Social Work and Research, 5, 513–538.CrossRefGoogle Scholar
  12. Campbell, D. A. (2012). Public managers in integrated service collaboratives: What works is workarounds. Public Administration Review, 72, 721–730.CrossRefGoogle Scholar
  13. Campbell, D. A., & Lambright, K. T. (2016). Program performance and multiple constituency theory. Nonprofit and Voluntary Sector Quarterly, 45, 150–171.CrossRefGoogle Scholar
  14. Chen, H., Cohen, P., & Chen, S. (2010). How big is an odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies. Communications in Statistics—Simulation and Computing, 39, 860–864.CrossRefGoogle Scholar
  15. Chuang, E., McBeath, B., Collins-Camargo, C., & Armstrong, M. (2014). Strengthening public-private partnerships in state child welfare systems: Results of a multi-state strategic planning process. Journal of Public Child Welfare, 8, 1–24.CrossRefGoogle Scholar
  16. Collins-Camargo, C., McBeath, B., & Ensign, K. E. (2011). Privatization and performance-based contracting in child welfare: Recent trends and implications for social service administrators. Administration in Social Work, 35, 494–516.CrossRefGoogle Scholar
  17. Gazley, B. (2017). The current state of interorganizational collaboration: Lessons for human service research and management. Human Service Organizations: Management, Leadership, & Governance, 41, 1–5.Google Scholar
  18. Gifford, W., Graham, I. D., Ehrhart, M. G., Davies, B. D., & Aarons, G. A. (2017). Ottawa model of implementation leadership and implementation leadership scale: Mapping concepts for developing and evaluating theory-based leadership interventions. Journal of Healthcare Leadership, 9, 15–23.CrossRefGoogle Scholar
  19. Girth, A. M. (2014). A closer look at contract accountability: Exploring the determinants of sanctions for unsatisfactory contract performance. Journal of Public Administration Research and Theory, 24, 317–348.CrossRefGoogle Scholar
  20. Girth, A. M., Hefetz, A., Johnston, J. M., & Warner, M. E. (2014). Outsourcing public service delivery: Management responses in noncompetitive markets. Public Administration Review, 72, 887–900.CrossRefGoogle Scholar
  21. Graff, G., Hengeveld-Bidmon, E., Carnochan, S., Radu, P., & Austin, M. J. (2016). The impact of the Great Recession on county human-service organizations: A cross-case analysis. Human Service Organizations: Management, Leadership, & Governance, 40, 152–169.Google Scholar
  22. Guarneros-Meza, V., & Martin, S. (2016). Boundary spanning in local public service partnerships: Coaches, advocates, or enforcers? Public Management Review, 18, 238–257.CrossRefGoogle Scholar
  23. Huang, K. (2014). Knowledge sharing in a third-party-governed health and human services network. Public Administration Review, 74, 587–598.CrossRefGoogle Scholar
  24. Lamothe, M., & Lamothe, S. (2012). To trust or not to trust? What matters in local governmet-vendor relationships? Journal of Public Administration Research and Theory, 22, 867–892.CrossRefGoogle Scholar
  25. Leeman, J., Calancie, L., Kegler, M. C., Escoffery, C. T., Herrmann, A. K., & Fernandez, M. E. (2017). Developing theory to guide building practitioners’ capacity to implement evidence-based interventions. Health Education and Behavior, 44, 59–69.CrossRefGoogle Scholar
  26. Long, J. S., & Freese, J. (2014). Regression models for categorical dependent variables using Stata (3rd ed.). College Station: StataCorp LP.Google Scholar
  27. Maas, C., & Hox, J. (2004). Robustness issues in multilevel regression analysis. Statistica Neerlandica, 58, 127–137.CrossRefGoogle Scholar
  28. McBeath, B., Carnochan, S., Stuart, M., & Austin, M. J. (2017). The managerial and relational dimensions of public-nonprofit human service contracting. Journal of Strategic Contracting and Negotiation, 3, 51–77.CrossRefGoogle Scholar
  29. McBeath, B., & Meezan, W. (2010). Governance in motion: Service provision and child welfare outcomes in a performance-based, managed care contract environment. Journal of Public Administration Research and Theory, 20, i101–i124.CrossRefGoogle Scholar
  30. Melton, E. K., & Meier, K. J. (2017). For the want of a nail: The interaction of managerial capacity and human resource management on organizational performance. Public Administration Review, 77, 118–130.CrossRefGoogle Scholar
  31. Moineddin, R., Matheson, F., & Glazier, R. H. (2007). A simulation study of sample size for multilevel logistic regression models. BMC Medical Research Methodology, 7, 34.CrossRefGoogle Scholar
  32. Moullin, J. C., Ehrhart, M. G., & Aarons, G. A. (2017). The role of leadership in organizational implementation and sustainment in service agencies. Research on Social Work Practice.Google Scholar
  33. Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42, 533–544.CrossRefGoogle Scholar
  34. Palinkas, L. A., Um, M. Y., Jeong, C. H., Chor, K. H. B., Olin, S., & Hoagwood, K. E. (2017). Adoption of innovative and evidence-based practices for children and adolescents in state-supported mental health clinics: A qualitative study. Health Research Policy and Systems, 15, 27.CrossRefGoogle Scholar
  35. Pettijohn, S. L., & Boris, E. T. (2014). Contracts and grants between human service nonprofits and government: Comparative analysis. July: Urban Institute Brief #4.Google Scholar
  36. Radu, P. T., Carnochan, S., & Austin, M. J. (2015). Obstacles to social service collaboration in response to the Great Recession: The case of the Contra Costa County safety net initiative. Journal of Community Practice, 23, 323–347.CrossRefGoogle Scholar
  37. Richter, A., Schwarz, U., Lornudd, C., Lundmark, R., Mosson, R., & Hasson, H. (2016). iLead—A transformational leadership intervention to train healthcare managers’ implementation leadership. Implementation Science, 11, 108.CrossRefGoogle Scholar
  38. Romzek, B. S., LeRoux, K., Johnston, J., Kempf, R., & Piatak, J. S. (2014). Informal accountability in multisector service delivery collaborations. Journal of Public Administration Research and Theory, 24, 813–842.CrossRefGoogle Scholar
  39. Silvia, C., & McGuire, M. (2010). Leading public sector networks: An empirical examination of integrative leadership behaviors. The Leadership Quarterly, 21, 264–277.CrossRefGoogle Scholar
  40. Smith, S. R., & Phillips, S. D. (2016). The changing and challenging environment of nonprofit human services: Implications for governance and program implementation. Nonprofit Policy Forum, 7, 79–92.CrossRefGoogle Scholar
  41. StataCorp. (2015). Stata Statistical Software: Release 14. College Station: StataCorp LP.Google Scholar
  42. Van Slyke, D. M. (2007). Agents or stewards: Using theory to understand the government-nonprofit social service contracting relationship. Journal of Public Administration Research and Theory, 17, 157–187.CrossRefGoogle Scholar
  43. Wells, R., Pérez Jolles, M., Chuang, E., McBeath, B., & Collins-Camargo, C. (2014). Trends in local public child welfare agencies 1999–2009. Children and Youth Services Review, 38, 93–100.CrossRefGoogle Scholar
  44. Willging, C. E., Aarons, G. A., Trott, E. M., Green, A. E., Finn, N., Ehrhart, M. G., & Hecht, D. B. (2016). Contracting and procurement for evidence-based interventions in public-sector human services: A case study. Administration and Policy in Mental Health and Mental Health Services Research, 43, 675–692.CrossRefGoogle Scholar
  45. Willging, C. E., Green, A. E., Gunderson, L., Chaffin, M., & Aarons, G. A. (2015). From a “perfect storm” to “smooth sailing”: Policymaker perspectives on implementation and sustainment of an evidence-based practice in two states. Child Maltreatment, 20, 24–36.CrossRefGoogle Scholar
  46. Williams, P. (2002). The competent boundary spanner. Public Administration, 80, 103–124.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Bowen McBeath
    • 1
    Email author
  • Emmeline Chuang
    • 2
  • Sarah Carnochan
    • 3
  • Michael J. Austin
    • 3
  • Marla Stuart
    • 4
  1. 1.Portland State University School of Social WorkPortlandUSA
  2. 2.University of California-Los Angeles Fielding School of Public HealthLos AngelesUSA
  3. 3.Mack Center on Nonprofit and Public Sector Management in the Human ServicesUniversity of California-Berkeley School of Social WelfareBerkeleyUSA
  4. 4.Berkeley Institute for Data ScienceUniversity of California-BerkeleyBerkeleyUSA

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