Child: Care, Health and Development, 32(4), July 2006, pp.477-492.
Publisher:
Wiley
This article clarifies the nature of 'service integration' and 'service co-ordination' and discusses how these aspects relate to the fundamental goal of providing co-ordinated care for children with disabilities and their families. Based on a review of the service delivery literatures in the fields of health, social services and rehabilitation, a framework is presented that outlines the scope of the co-ordination-related functions and activities encompassed in three common types of approaches to the delivery of co-ordinated care. These are a system/sector-based service integration approach, an agency-based service integration approach and a client/family-based service co-ordination approach. The functions outlined in the framework include aggregate-level planning of services (designed to map out the scope and plan for service provision in a community or geographical area), administrative functions (designed to ensure wise and equitable access to resources) and client-specific service delivery functions (designed to link clients/families to needed services). The framework is a tool that can be used to support policy making and decision making with respect to the design of efforts to provide co-ordinated care. It provides information about commonly used approaches and the essential elements of these approaches, which can be used in making choices about the scope and nature of an approach towards service integration/co-ordination.
This article clarifies the nature of 'service integration' and 'service co-ordination' and discusses how these aspects relate to the fundamental goal of providing co-ordinated care for children with disabilities and their families. Based on a review of the service delivery literatures in the fields of health, social services and rehabilitation, a framework is presented that outlines the scope of the co-ordination-related functions and activities encompassed in three common types of approaches to the delivery of co-ordinated care. These are a system/sector-based service integration approach, an agency-based service integration approach and a client/family-based service co-ordination approach. The functions outlined in the framework include aggregate-level planning of services (designed to map out the scope and plan for service provision in a community or geographical area), administrative functions (designed to ensure wise and equitable access to resources) and client-specific service delivery functions (designed to link clients/families to needed services). The framework is a tool that can be used to support policy making and decision making with respect to the design of efforts to provide co-ordinated care. It provides information about commonly used approaches and the essential elements of these approaches, which can be used in making choices about the scope and nature of an approach towards service integration/co-ordination.
Subject terms:
joint working, physical disabilities, policy, social care provision, children, decision making, health care;
GREAT BRITAIN. Department of Health, Social Services and Public Safety for Northern Ireland
Publisher:
Stationery Office
Publication year:
1996
Pagination:
70p.
Place of publication:
Belfast
The Regulations made under the Children Order include permissions and restrictions as to what may or may not be done and also requirements on what must be done. As with the Children Order itself, the Regulations carry the full weight of the law. The guidance issued under the Children Order is not law, but rather what the Department considers to be good practice. This covers: assessment; joint working; parenting; families; social care provision.
The Regulations made under the Children Order include permissions and restrictions as to what may or may not be done and also requirements on what must be done. As with the Children Order itself, the Regulations carry the full weight of the law. The guidance issued under the Children Order is not law, but rather what the Department considers to be good practice. This covers: assessment; joint working; parenting; families; social care provision.
Extended abstract:
Author:NORTHERN IRELAND. Department of Health, Social Services and Public Safety Title: Children (NI) Order 1995: regulations and guidance: volume 5: children with a disability Publisher: Stationery Office, 1996
Summary
The guidance issued under the Children Order is not law, but rather what the Department considers good practice, and covers assessment; joint working; parenting; families; and social care provision.
Contents
The preface explains the status of regulations and guidance. The Regulations made under the Children Order include permissions and restrictions as to what may or may not be done and also requirements on what must be done. As with the Children Order itself, the Regulations carry the full weight of the law. The general principles of the Children Order are listed. Chapter 1 is an introduction explaining trusts' duty to provide services for children with a disability. Chapter 2 explains the general requirement for trusts to identify the extent to which there are children in need in their area. Chapter 3 requires trusts to develop appropriate links between professional groups and collaborate with agencies. Chapter 4 covers the need for trusts to develop assessment procedures. Chapter 5 takes the assessment and planning process further, requiring trusts to have regard to the Departmental policy paper ‘People first' when assessing need. Trusts' requirement to work in partnership with parents and children is outlined in Chapter 6. Chapter 7 requires trusts to work with the community to facilitate provision by voluntary organisations and others and develop effective co-ordination, communication and mutual respect between and with professionals and services. Chapter 8 covers services to children living with their families. Chapter 9 places on trusts a need to develop communication with education and library boards at senior management level. The contribution of child health staff is covered in Chapter 10. Chapter 11 considers provision of accommodation as a service to children in need and their families. Foster placements is the theme of Chapter 12. The duties and responsibilities of trusts and others in relation to children in residential care are discussed in Chapter 13. Chapter 14 states that trusts, voluntary organisations and privately-run children's homes have a statutory duty to have a system for considering representations and complaints, and Chapter 15 that trusts have a statutory duty to investigate where a child may be in need of protection. Finally Chapter 16 discusses the transition to adulthood and trusts' duty to prepare young people they are looking after for leaving care and provide after care for young people who have been accommodated by trusts or other agencies.
Subject terms:
joint working, parenting, physical disabilities, social care provision, assessment, children, families;
ROYAL ASSOCIATION FOR DISABILITY AND REHABILITATION
Publisher:
Royal Association for Disability and Rehabilitation
Publication year:
2002
Pagination:
44p.
Place of publication:
London
In the current climate where working in partnership is both encouraged and expected, training plays an important part in this process.The aim of this good practice guide is to show how training can improve joint working, to show the benefits there will be for both service providers and people receiving services, and to give examples of good practice. The guide looks at what ‘works well’ particularly from the viewpoint of disabled people. It also covers what causes problems and what could be done to address these. Its intention is to encourage service providers and trainers to think about how training can improve joint working and to take action to put thought into effect.
In the current climate where working in partnership is both encouraged and expected, training plays an important part in this process.The aim of this good practice guide is to show how training can improve joint working, to show the benefits there will be for both service providers and people receiving services, and to give examples of good practice. The guide looks at what ‘works well’ particularly from the viewpoint of disabled people. It also covers what causes problems and what could be done to address these. Its intention is to encourage service providers and trainers to think about how training can improve joint working and to take action to put thought into effect.
Subject terms:
joint working, multidisciplinary training, physical disabilities, social care provision, training, user participation, good practice;
Reports on how three leading charities, the British Red Cross, the Royal National Institute for the Blind, and the Royal National Institute for the Deaf, have formed a consortium with the aim of providing disability aids across the country. Examines how the deal could work and why the sector is in need of radical action.
Reports on how three leading charities, the British Red Cross, the Royal National Institute for the Blind, and the Royal National Institute for the Deaf, have formed a consortium with the aim of providing disability aids across the country. Examines how the deal could work and why the sector is in need of radical action.
Subject terms:
joint working, NHS, physical disabilities, social care provision, voluntary sector, assistive technology;
Journal of Integrated Care, 12(2), April 2004, pp.24-34.
Publisher:
Emerald
Recent government policies in relation to children stress the importance of service integration and partnership working, with particular emphasis on combating social exclusion. With reference to findings from a three year empirical study, this article examines some key elements of the process of multi-agency working in services for disabled children with complex health care needs. Highlights some of the barriers to effective partnerships and lists some pointers for policy and practice.
Recent government policies in relation to children stress the importance of service integration and partnership working, with particular emphasis on combating social exclusion. With reference to findings from a three year empirical study, this article examines some key elements of the process of multi-agency working in services for disabled children with complex health care needs. Highlights some of the barriers to effective partnerships and lists some pointers for policy and practice.
Subject terms:
interagency cooperation, joint working, multidisciplinary services, multiple disabilities, physical disabilities, social care provision, children;
Public Money and Management, 25(4), August 2005, pp.245-251.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
Relationships between the NHS and social care services over the past 25 years have a poor history. This article examines the strategies that have been used by central government and by local NHS and social care organizations to overcome difficulties of service co-ordination in relation to services for older people and disabled adults. The article is written from the perspective of the NHS. The authors conclude that policies reflecting 'networked' modes of governance may stand the best chance of success, although evidence of improved impact and outcomes still remains scarce.
Relationships between the NHS and social care services over the past 25 years have a poor history. This article examines the strategies that have been used by central government and by local NHS and social care organizations to overcome difficulties of service co-ordination in relation to services for older people and disabled adults. The article is written from the perspective of the NHS. The authors conclude that policies reflecting 'networked' modes of governance may stand the best chance of success, although evidence of improved impact and outcomes still remains scarce.
Subject terms:
interagency cooperation, joint working, NHS, older people, physical disabilities, social services, social care, social care provision, central government;
Almost thirty years of research has consistently shown that families with disabled children would prefer the many agencies that they encounter to work together more effectively. Since 1997, a strong policy emphasis on the importance of ‘joined-up’ working has promoted the benefits of partnerships. In response, many projects and services have been established throughout the UK that aim to implement better joint work whilst improving quality of life for this group of children and their families. There is, however, a notable lack of information about the nature of multi-agency services for children with complex health care needs. And, crucially, the impact that these partnerships have on families and children.
Almost thirty years of research has consistently shown that families with disabled children would prefer the many agencies that they encounter to work together more effectively. Since 1997, a strong policy emphasis on the importance of ‘joined-up’ working has promoted the benefits of partnerships. In response, many projects and services have been established throughout the UK that aim to implement better joint work whilst improving quality of life for this group of children and their families. There is, however, a notable lack of information about the nature of multi-agency services for children with complex health care needs. And, crucially, the impact that these partnerships have on families and children.
Subject terms:
interagency cooperation, joint working, multidisciplinary services, outcomes, physical disabilities, quality of life, social care provision, activities of daily living, children, families;
The improvement handbook has been designed for managers and staff who work with disabled children and their families, across different agencies and disciplines. Individual services and agencies can use it to improve their own services. But, the most effective way to use the change pack is for managers and professionals from different agencies and disciplines to use it to review and develop services together. Families said that very often it was better co-ordination between different professionals and agencies that would make the biggest difference to the quality of their lives.
The improvement handbook has been designed for managers and staff who work with disabled children and their families, across different agencies and disciplines. Individual services and agencies can use it to improve their own services. But, the most effective way to use the change pack is for managers and professionals from different agencies and disciplines to use it to review and develop services together. Families said that very often it was better co-ordination between different professionals and agencies that would make the biggest difference to the quality of their lives.
Subject terms:
interagency cooperation, joint working, organisations, physical disabilities, social services, social care provision, social worker-service user relationships, children, families;
There have been numerous government initiatives in relation to providing quality services for disabled children and their families. One key area in need of further development, identified by both service professionals and service users, is the provision of accessible information for parents, carers and others who work with disabled children. Easily accessible information is particularly important in the context of changing services and multi-agency working. This report addresses the issue by providing: an overview of current policy and practice in the provision of services for disabled children and their families; a 'how to' guide to best practice for the production of an information guide to services, from planning and production to evaluation and analysis; evaluation of an information guide from the perspective of both parents and professionals.
There have been numerous government initiatives in relation to providing quality services for disabled children and their families. One key area in need of further development, identified by both service professionals and service users, is the provision of accessible information for parents, carers and others who work with disabled children. Easily accessible information is particularly important in the context of changing services and multi-agency working. This report addresses the issue by providing: an overview of current policy and practice in the provision of services for disabled children and their families; a 'how to' guide to best practice for the production of an information guide to services, from planning and production to evaluation and analysis; evaluation of an information guide from the perspective of both parents and professionals.
Subject terms:
information services, joint working, multidisciplinary services, physical disabilities, social care provision, access to information, access to services, children, families;
These lectures review participatory development and joint worrking in social services, education and other provisions in developed and developing countries. Contents include: lessons from anti-oppressive movements; learning and cotizenship; overcoming disability; and participatory processes in the North, lessons from the South.
These lectures review participatory development and joint worrking in social services, education and other provisions in developed and developing countries. Contents include: lessons from anti-oppressive movements; learning and cotizenship; overcoming disability; and participatory processes in the North, lessons from the South.
Subject terms:
joint working, joint planning, models, physical disabilities, poverty, social work, social care provision, training, anti-oppressive practice, developing countries;