 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
|
| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Mary Evans, PhD, Research and Training Center for Children's Mental Health, University of South Florida, 13301 Bruce B. Downs Blvd, Tampa, FL 33567, (813) 974-9112, evans@fmhi.usf.edu and Mary I. Armstromg, MSW, MBA, Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL 33612.
The purpose of this study is to examine the relationship between the policy instruments used by states and localities in developing systems of care for children and families and the collaboration that develops among providers of services and families.
Data were collected from state key informants regarding the approach used to establish their system of care. These data were subjected to cluster analysis to select states for an in-depth review of their collaboration. The analysis program identified five clusters, each with an exemplar state. Exemplar states were visited and data were collected through administration of the Interagency Collaboration Scale (ICS), interviewing stakeholders, observing meetings of interagency groups, and reviewing records. One state had significantly lower scores on attitudes toward collaboration. The qualitative data indicated that this site had two approaches to establishing systems of care resulting in different target populations and competition for funds.
Five additional states, one selected randomly from each cluster, were visited to obtain information to test the emerging model of factors facilitating and inhibiting collaboration. This presentation focuses on the data generated by administration of the ICS and the qualitative data collected in all ten states. These data are used to test nine hypotheses about collaboration. The final model is expected to be useful to states and localities developing systems of care for children and families receiving care from multiple agencies. It should also be of interest to state policy makers considering the most efficient and effective means of developing such systems.
Learning Objectives:
Keywords: Child/Adolescent Mental Health, Health Care Restructuring
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.