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Professionals’ views on the development process of a structural collaboration between child and adolescent psychiatry and child welfare: an exploration through the lens of the life cycle model

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Abstract

This study, as a part of a participatory action research project, reports the development process of an innovative collaboration between child and adolescent psychiatry and child welfare, for adolescent girls with multiple and complex needs. The findings emerge from a qualitative descriptive analysis of four focus groups with 30 professionals closely involved in this project, and describe the evolution of the collaborative efforts and outcomes through time. Participants describe large investments and negative consequences of rapid organizational change in the beginning of the collaboration project, while benefits of the intensive collaboration only appeared later. A shared person-centred vision and enhanced professionals’ confidence were pointed out as important contributors in the evolution of the collaboration. Findings were compared to the literature and showed significant analogy with the life cycle model for shared service centres that describe the maturation of collaborations from a management perspective. These findings enrich the knowledge about the development process of collaboration in health and social care. In increasingly collaborative services, child and adolescent psychiatrists and policy makers should be aware that gains from a collaboration will possibly only be achieved in the longer term, and benefit from knowing which factors have an influence on the evolution of a collaboration project.

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References

  1. World Health Organization (1986) The Ottawa charter for health promotion: first international conference on health promotion, Ottawa, 21 November 1986. WHO, Geneva

    Google Scholar 

  2. Rivard JC, Morrissey JP (2003) Factors associated with interagency coordination in a child mental health service system demonstration. Adm Policy Ment Health 30:397–415. https://doi.org/10.1023/a:1024641630430

    Article  PubMed  Google Scholar 

  3. Department of Health & NHS England (2015) Future in mind: promoting, protecting and improving our children and young people’s mental health and wellbeing. Department of Health & NHS England, London

    Google Scholar 

  4. Keene J (2001) Understanding complex needs: a multidisciplinary approach. Blackwell Science Ltd, London

    Google Scholar 

  5. Rankin J, Regan S (2004) Meeting complex needs in social care. Hous Care Support 7(3):4–8

    Article  Google Scholar 

  6. Hurlburt MS, Leslie LK, Landsverk J, Barth RP, Burns BJ, Gibbons RD, Slymen DJ, Zhang J (2004) Contextual predictors of mental health service use among children open to child welfare. Arch Gen Psychiatry 61(12):1217–1224. https://doi.org/10.1001/archpsyc.61.12.1217

    Article  PubMed  PubMed Central  Google Scholar 

  7. Bai Y, Wells R, Hillemeier MM (2009) Coordination between child welfare agencies and mental health service providers, children’s service use, and outcomes. Child Abuse Negl 33:372–381. https://doi.org/10.1016/j.chiabu.2008.10.004

    Article  PubMed  PubMed Central  Google Scholar 

  8. Rowlandson PH, Smith C (2009) An interagency service delivery model for autistic spectrum disorders and attention deficit hyperactivity disorder. Child Care Health Dev 35:681–690. https://doi.org/10.1111/j.1365-2214.2009.00956.x

    Article  CAS  PubMed  Google Scholar 

  9. Oliver C, Mooney A, Statham J (2010) Integrated working: a review of the evidence. Institute of Education, London

    Google Scholar 

  10. Fritsch SL, Schlesinger A, Habeger AD, Sarvet B, Harrison JN (2016) Collaborative care and integration: changing roles and changing identity of the child and adolescent psychiatrist? J Am Acad Child Adolesc Psychiatry 55(9):743–745

    Article  Google Scholar 

  11. Hughes M (2006) Multi-agency teams: why should working together make everything better? Educ Child Psychol 23:60–71

    Google Scholar 

  12. Horwath J, Morrison T (2007) Collaboration, integration and change in children’s services: critical issues and key ingredients. Child Abuse Negl 31(1):55–69. https://doi.org/10.1016/j.chiabu.2006.01.007

    Article  PubMed  Google Scholar 

  13. Smith BD, Mogro-Wilson C (2007) Multi-level influences on the practice of inter-agency collaboration in child welfare and substance abuse treatment. Child Youth Serv Rev 29:545–556. https://doi.org/10.1016/j.childyouth.2006.06.002

    Article  Google Scholar 

  14. Hamblin B, Keep J, Ask K (2001) Organisational change and development. Fi, Harlow

    Google Scholar 

  15. Kodner DL, Spreeuwenberg C (2002) Integrated care: meaning, logic, applications, and implications—a discussion paper. Int J Integr Care 2(11):12

    Google Scholar 

  16. Wong S, Sumsion J (2013) Integrated early years services: a thematic literature review. Early Years Int Res J 33:341–353. https://doi.org/10.1080/09575146.2013.841129

    Article  Google Scholar 

  17. D’Amour D, Ferrada-Videla M, San Martin Rodriguez L, Beaulieu MD (2005) The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks. J Interprof Care 19(sup1):116–131. https://doi.org/10.1080/13561820500082529

    Article  PubMed  Google Scholar 

  18. Kagan SL (1991) United we stand: collaboration for child care and early education services. Teachers College Press, New York

    Google Scholar 

  19. Khalili H, Orchard C, Laschinger HKS, Farah R (2013) An interprofessional socialization framework for developing an interprofessional identity among health professions students. J Interprof Care 27(6):448–453. https://doi.org/10.3109/13561820.2013.804042

    Article  PubMed  Google Scholar 

  20. Smale G (1996) Mapping change and innovation. HM Stationery Office, London

    Google Scholar 

  21. Hodges S, Hernandez M, Nesman T (2003) A developmental framework for collaboration in child-serving agencies. J Child Fam Stud 12(3):291–305. https://doi.org/10.1023/A:1023987710611

    Article  Google Scholar 

  22. McTaggart R (1994) Participatory action research: issues in theory and practice. Educ Action Res 2(3):313–337. https://doi.org/10.1080/0965079940020302

    Article  Google Scholar 

  23. Malterud K (2012) Systematic text condensation: a strategy for qualitative analysis. Scand J Public Health 40(8):795–805. https://doi.org/10.1177/1403494812465030

    Article  PubMed  Google Scholar 

  24. Sandelowski M (2000) Focus on research methods whatever happened to qualitative description? Nurs Health 23:334–340

    CAS  Google Scholar 

  25. Creswell JW, Poth CN (2017) Qualitative inquiry and research design: choosing among five approaches. Sage Publications, London

    Google Scholar 

  26. Struik P, Brugman M (2008) Life cycle model voor shared service center. Facil Manag Mag 21(165):63

    Google Scholar 

  27. Freeth D (2001) Sustaining interprofessional collaboration. J Interprof Care 15(1):37–46. https://doi.org/10.1080/13561820020022864

    Article  CAS  PubMed  Google Scholar 

  28. Hunter T (2004) Child welfare and alcohol and other drug treatment (aod): bridging the gap to comprehensive services. J Fam Soc Work (Taylor & Francis Group) 7(4):63–67

    Article  Google Scholar 

  29. Drabble L (2007) Pathways to collaboration: exploring values and collaborative practice between child welfare and substance abuse treatment fields. Child Maltreat 12(1):31–42. https://doi.org/10.1177/1077559506296721

    Article  PubMed  Google Scholar 

  30. Cooper M, Evans Y, Pybis J (2016) Interagency collaboration in children and young people’s mental health: a systematic review of outcomes, facilitating factors and inhibiting factors. Child Care Health Dev 42(3):325–342. https://doi.org/10.1111/cch.12322

    Article  CAS  PubMed  Google Scholar 

  31. Gondek D, Edbrooke-Childs J, Velikonja T, Chapman L, Saunders F, Hayes D, Wolpert M (2016) Facilitators and barriers to person-centred care in child and young people mental health services: a systematic review. Clin Psychol Psychother. https://doi.org/10.1002/cpp.2052

    Article  PubMed  Google Scholar 

  32. Armitage GD, Suter E, Oelke ND, Adair CE (2009) Health systems integration: state of the evidence. Int J Integr Care 9(6):82. https://doi.org/10.5334/ijic.316

    Article  Google Scholar 

  33. Gibson CH (1991) A concept analysis of empowerment. J Adv Nurs 6(3):354–361

    Article  Google Scholar 

  34. Kuokkanen L, Leino-Kilpi H (2000) Power and empowerment in nursing: three theoretical approaches. J Adv Nurs 31(1):235–241. https://doi.org/10.1046/j.1365-2648.2000.01241.x

    Article  CAS  PubMed  Google Scholar 

  35. Chandler G (1991) Creating an environment to empower nurses. Nurs Manag 22:20–23

    Article  CAS  Google Scholar 

  36. Salmon G (2004) Multi-agency collaboration: the challenges for CAMHS. Child Adolesc Mental Health 9(4):156–161. https://doi.org/10.1111/j.1475-3588.2004.00099.x

    Article  Google Scholar 

  37. Whiteley A, McCabe M, Buoy L, Howie F, Klass D, Latham J, Bickley M, Luckeenarain L (1998) Planning the qualitative research interview. Graduate School of Business, Curtin University of Technology. Working paper series 98.01

  38. Balogun J, Johnson G (2005) From intended strategies to unintended outcomes: the impact of change recipient sensemaking. Organ Stud 26(11):1573–1601

    Article  Google Scholar 

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Authors and Affiliations

  1. Collaborative Antwerp Psychiatric Research Institute-Youth (CAPRI), University of Antwerp, Campus Drie Eiken-Gebouw R, Universiteitsplein 1, 2610, Antwerp, Belgium

    Helena Van den Steene, Dirk van West & Inge Glazemakers

  2. University Centre of Child and Adolescent Psychiatry (ZNA-UKJA), University of Antwerp, Lindendreef 1, 2020, Antwerp, Belgium

    Helena Van den Steene, Dirk van West & Inge Glazemakers

  3. Department of Clinical and Lifespan Psychology (KLEP), Faculty of Psychology and Educational Sciences, Free University Brussels (VUB), Pleinlaan 1, 1060, Brussels, Belgium

    Dirk van West

  4. Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Belgium

    Griet Peeraer

Authors
  1. Helena Van den Steene
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  2. Dirk van West
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  3. Griet Peeraer
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  4. Inge Glazemakers
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Corresponding author

Correspondence to Helena Van den Steene.

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Ethical standards

All human and animal studies have been approved by the ethics committee of the University of Antwerp/University Hospital of Antwerp and have, therefore, been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All persons gave their informed consent prior to their inclusion in the study.

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The authors declare that they have no conflict of interest.

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Van den Steene, H., van West, D., Peeraer, G. et al. Professionals’ views on the development process of a structural collaboration between child and adolescent psychiatry and child welfare: an exploration through the lens of the life cycle model. Eur Child Adolesc Psychiatry 27, 1539–1549 (2018). https://doi.org/10.1007/s00787-018-1147-7

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  • DOI: https://doi.org/10.1007/s00787-018-1147-7

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