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
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.
KeywordsCollaboration Mental health Child and adolescent psychiatry Life cycle model Multiple and complex needs Adolescent girls
Compliance with 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.
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.World Health Organization (1986) The Ottawa charter for health promotion: first international conference on health promotion, Ottawa, 21 November 1986. WHO, GenevaGoogle 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, LondonGoogle Scholar
- 4.Keene J (2001) Understanding complex needs: a multidisciplinary approach. Blackwell Science Ltd, LondonGoogle 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 CrossRefPubMedPubMedCentralGoogle Scholar
- 9.Oliver C, Mooney A, Statham J (2010) Integrated working: a review of the evidence. Institute of Education, LondonGoogle Scholar
- 11.Hughes M (2006) Multi-agency teams: why should working together make everything better? Educ Child Psychol 23:60–71Google Scholar
- 14.Hamblin B, Keep J, Ask K (2001) Organisational change and development. Fi, HarlowGoogle Scholar
- 15.Kodner DL, Spreeuwenberg C (2002) Integrated care: meaning, logic, applications, and implications—a discussion paper. Int J Integr Care 2(11):12Google Scholar
- 18.Kagan SL (1991) United we stand: collaboration for child care and early education services. Teachers College Press, New YorkGoogle Scholar
- 20.Smale G (1996) Mapping change and innovation. HM Stationery Office, LondonGoogle Scholar
- 25.Creswell JW, Poth CN (2017) Qualitative inquiry and research design: choosing among five approaches. Sage Publications, LondonGoogle Scholar
- 26.Struik P, Brugman M (2008) Life cycle model voor shared service center. Facil Manag Mag 21(165):63Google 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 98.01Google Scholar