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Integrated practice on the front line: a handbook
- Authors:
- GARRETT Liz, LODGE Sal
- Publisher:
- Research in Practice
- Publication year:
- 2009
- Pagination:
- 68p., bibliog., DVD
- Place of publication:
- Dartington
This handbook is for practitioners and managers working on the front line of services to children, families and young people and aiming to support the development of effective integrated practice. An introduction tells the story of the Change Project and chapters then cover the policy context and supporting guidance, theoretical frameworks, what research tells us, getting started, improving integrated pracice, and paying attention to involving service users, governance, evaluation and action planning.
Meet the budget holders
- Author:
- -
- Journal article citation:
- Children and Young People Now, 17.10.07, 2007, pp.22-23.
- Publisher:
- Haymarket Business Publications Ltd
Lead professionals provide a single point of contact and co-ordinated service delivery for children and young people. In 16 areas they are being given their own budgets to buy goods and services directly for families. These pilots will run until April 2008, when the government will decide whether or not to expand the programme. This article talk to four lead professional about their role and one parent explains how a lead professional was able to help after a bereavement.
Child protection and family empowerment: competing rights or accordant goals?
- Author:
- GENTLES-GIBBS Natallie
- Journal article citation:
- Child Care in Practice, 22(4), 2016, pp.386-400.
- Publisher:
- Taylor and Francis
Since the advent of the Family Support movement in the 1970s, child welfare systems have been challenged to simultaneously protect children and empower the families they serve. Despite the passage of decades, however, the systems continue to struggle with adequately integrating the pursuit of family empowerment into the fabric of their work. While it is generally agreed that family empowerment is important, child welfare administrators do not seem to agree on whether the system can be dually focused or whether child welfare should maintain its focus as a protective authority. This article addresses the ongoing tension between protection and empowerment and presents data from interviews with 30 child welfare caseworkers and supervisors from three counties in the Mid-Western region of the United States. The interviewees share their understanding of the relationship between child protection and family empowerment. They also discuss key aspects of child welfare organisational culture which indicate why family empowerment may still be a struggle for these systems. The data reveal that comprehensive training is needed within child welfare in order to move the family empowerment agenda forward. (Publisher abstract)
The place of “think family” approaches in child and family social work: messages from a process evaluation of an English pathfinder service
- Authors:
- THOBURN June, et al
- Journal article citation:
- Children and Youth Services Review, 35(2), 2013, pp.228-236.
- Publisher:
- Elsevier
This paper reports findings from a process study of an English multi-disciplinary team working with families with long standing and complex problems. Data are provided on all families referred in the first year. For a one-third sub-sample of 33 cases, process and interim outcome data are analysed from information systematically extracted from case records. These are complemented by qualitative data from interviews with managers and caseworkers and by observation of ‘team around the family’ and professionals' meetings. The paper concludes that the service succeeds in engaging a majority of the referred families who have been hard to reach or hard to change in the past and whose children are either ‘on the edge of care’ or likely to be significantly harmed without the provision of an intensive service. Improvements were made in the life chances of children in 75% of the families. Aspects of the service identified as associated with more positive outcomes are: the allocation of two key workers, one for the child/children and one for the parent; the centrality of relationship-based practice and flexibility of the approach rather than strict adherence to any particular practice model; the fact that the service is firmly embedded within the statutory children's services department, allowing for continuity of relationships with team around the family members when the intensive service ends; and flexibility about case duration and intensity.
Interprofessional collaboration at the crossroads of group social work and family intervention: theoretical analysis of the evolution of practices leading to integrated services in New Brunswick
- Authors:
- LANTEIGNE Isabel, IANCU Penelopia
- Journal article citation:
- Groupwork, 29(1), 2020, pp.24-45.
- Publisher:
- Whiting and Birch
This article proposes a theoretical analysis of group intervention practices with families in the context of interprofessional collaboration. A short history of group intervention with families is presented before we elaborate on new hybrid models of practice. These new models are characterized by their structural and functional complexity, and by the multiplicity of forms of collaboration used during interventions. One of these innovative practices based on interprofessional collaboration is Integrated Services Delivery (ISD) for children, youth and families. This program enables interprofessional teams to develop joint intervention plans to support families who have children with mental health problems. These practice models raise issues concerning social work education with regards to collaborative work in intervention and the resolution of complex situations. (Edited publisher abstract)
Proportionate universalism in child and family social work
- Authors:
- DIERCKX Melissa, DEVLIEGHERE Jochen, VANDENBROECK Michel
- Journal article citation:
- Child and Family Social Work, 25(2), 2020, pp.337-344.
- Publisher:
- Wiley
Integrated services in preventive health care and child and family social work increasingly embrace the concept of proportionate universalism (PU) as a means of overcoming the dichotomy between universal and targeted services in contexts of diversity. The implementation of the concept of PU raises several theoretical and empirical questions that form the basis of this article. This study aims to provide more insight in how the concept of PU is operationalized in child and family social work. Qualitative research was performed in three specific cases of child and family social work, the so‐called “Huizen van het Kind” or Children's Houses in Flanders (Belgium). The study triangulates three perspectives: policy, organizational level, and street level. The findings generate three meta‐themes: perseverant structuring of populations or predefinitions, image and conceptualization of the Children's House, and organizational challenges. These results reveal a difference between the theoretical assumption of PU and the practical implementation in child and family social work. (Publisher abstract)
Beyond care coordination: integrated health care settings for youth and their families
- Authors:
- CHOMANCZUK Aminda Heckman, MIRABITO Diane M., SIEGEL Judith P.
- Journal article citation:
- Journal of Family Social Work, 21(3), 2018, pp.200-213.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Integrated behavioural health (IBH) addresses the needs of children and their families with a comprehensive psychosocial approach that maximises treatment adherence and minimises duplication of services and barriers to mental health treatment. This treatment modality goes beyond care coordination and has been especially effective in helping youth and their families in low-income and high-risk neighbourhoods. In the last two decades, IBH has found a home in two distinct service vehicles: primary care practices and school-based health clinics. This article discusses both types of models of care, provides a brief overview of assessment tools that social workers utilise in IBH settings, and illustrates some family IBH interventions through a case example. (Edited publisher abstract)
The integrated care team: a practice model in child and family services
- Authors:
- KELLY Leanne M., KNOWLES Julie M.
- Journal article citation:
- Journal of Family Social Work, 18(5), 2015, pp.382-395.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article describes the Integrated Care Team operated by Windermere, one of the oldest and largest independent community services organizations operating in Melbourne’s outer southeastern suburbs supporting children and families. The Integrated Care Team brings together representatives from each of Windermere’s service areas to create a group of highly experienced and knowledgeable professionals. This transdisciplinary team aims to provide a cohesive and effective support to service delivery staff working with individuals and families who are experiencing issues across multiple service areas. This support involves sharing of knowledge, contacts, resources and brokerage. Initial evaluation of the Integrated Care Team demonstrates strong positive outcomes for individuals and families with results that could not be so efficiently achieved through standard practice. Positive outcomes occur more quickly, more effectively, with less disruption to individuals and families and with more ease for workers than in standard practice. Workers who utilise the Integrated Care Team and representatives who sit on the Team comment on the efficacy of the approach reinforcing the value of key worker models, transdisciplinary teams, seamless service and breaking down silos between service areas; even within the same agency. The article includes two short examples of how the service has helped two families. (Edited publisher abstract)
Does formal integration between child welfare and behavioral health agencies result in improved placement stability for adolescents engaged with both systems?
- Authors:
- WELLS Rebecca, CHUANG Emmeline
- Journal article citation:
- Child Welfare Journal, 91(1), 2012, pp.79-100.
- Publisher:
- Child Welfare League of America
Focusing on adolescents engaged with child welfare who have been allowed to remain with their families after completion of a maltreatment investigation, this study examined how links between child welfare agencies and behavioural healthcare providers affected placement stability. It used data drawn from the US National Survey of Child and Adolescent Well-Being. The article describes the study methodology and data analysis, and presents the results together with statistical tables. It reports that adolescents initially at home who were later removed tended to have fewer moves when child welfare and behavioural health were in the same larger agency. It concludes that the results suggest that adolescents receiving both in-home child protective and behavioural health services benefit from common agency ownership.
Families with multiple problems: some challenges in identifying and providing services to those experiencing adversities across the life course
- Author:
- SPRATT Trevor
- Journal article citation:
- Journal of Social Work, 11(4), October 2011, pp.343-357.
- Publisher:
- Sage
There is a concern amongst policy-makers to identify high cost and low productivity populations and target these for particular interventions. The aim of this article is to address some key issues involved in understanding families whose children experience multiple childhood adversities and the effect of these across the life course. After outlining conceptual developments in relation to families with multiple problems, the article then examines some of the research challenges involved in tracking outcomes for children experiencing multiple problems into adulthood. It argues that current thinking with regard to these issues reflects historical domains within which services to children and to adults are located. The challenge to domain thinking is both horizontal and vertical. Policy is required to address the horizontal axis by co-ordinating planned approaches to multiple needs across services. It is also important to address the vertical cleavage between children’s and adult services in ways which join up services across the life path; conceptually and practically acknowledging the links between child and adult experiences. These policy developments will inevitably require social work to develop alternative paradigms for understanding the needs of children and adults and designing services to effectively meet these.