Interagency collaborative care for young people with complex needs: Front‐line staff perspectives

Worldwide, a growing burden of health and social issues now affect young people. Interagency collaboration and the “integration” of health and social care services are advocated to address the increasingly complex needs of at‐risk youth and to reduce barriers to accessing care. In New Zealand, Youth...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Health & social care in the community Jg. 27; H. 4; S. 1019 - 1030
Hauptverfasser: Morgan, Sonya, Pullon, Susan, Garrett, Susan, McKinlay, Eileen
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Blackwell Publishing Ltd 01.07.2019
Schlagworte:
Adolescent
At risk populations
Caregiving
Case studies
Collaboration
Collaborative approach
Communication
community care
Community Health Services - organization & administration
complex needs
Complexity
Facilitated communication
Female
Focus Groups
general practice
Health care
Health services
Health Services Accessibility - organization & administration
Health Services Needs and Demand - statistics & numerical data
Health Systems Agencies - organization & administration
Humans
Information sharing
Integrated care
Interagency collaboration
Intergovernmental relations
Interorganizational networks
Interpersonal relations
inter‐organisational working
Needs
New Zealand
Patient Care Team - organization & administration
Risk reduction
Shops
Social issues
Social services
Social Support
Social Work
Wraparound programmes
young people
Youth
New Zealand
complex needs
inter-organisational working
community care
integrated care
young people
general practice
ISSN:0966-0410, 1365-2524, 1365-2524
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Worldwide, a growing burden of health and social issues now affect young people. Interagency collaboration and the “integration” of health and social care services are advocated to address the increasingly complex needs of at‐risk youth and to reduce barriers to accessing care. In New Zealand, Youth‐One‐Stop‐Shops (YOSSs) provide integrated health and social care to young people with complex needs. Little is known about how YOSSs facilitate collaborative care. This study explored the collaboration between YOSSs and external agencies between 2015 and 2017 using a multiple case study method. This paper reports qualitative focus group and individual interview data from two of four case sites including six YOSS staff and 14 external agency staff. Results showed participants regarded collaboration as critical to the successful care of high needs young people and were positive about working together. They believed YOSSs provided effective wraparound collaborative care and actively facilitated communication between diverse agencies on behalf of young people. The main challenges participants faced when working together related to the different “world views” and cultures of agencies which can run contrary to collaborative practice. Despite this, some highly collaborative relationships were apparent and staff in the different agencies perceived YOSSs had a lead role in co‐ordinating collaborative care and were genuinely valued and trusted. However without the YOSS involvement, collaboration between agencies in relation to young people was less frequent and rarely went beyond limited information exchange. Establishing and maintaining trusting interpersonal relationships with individual staff was key to successfully negotiating agency differences. The study confirms that collaboration when caring for young people with high needs is complex and challenging, yet agencies from diverse sectors value collaboration and see the YOSS integrated wraparound approach as an important model of care.
Bibliographie:Funding information
This work was supported by grants from the University of Otago (Research Grant 2015) and Lotteries Health New Zealand (AP353057). The funding agencies had no influence over the research design, conduct of the research or the writing of the manuscript.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:0966-0410
1365-2524
1365-2524
DOI:10.1111/hsc.12719