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1.
Adm Policy Ment Health ; 46(2): 115-127, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30291540

RESUMO

Despite emerging evidence of contracting for evidence-based practices (EBP), little research has studied how managers lead contract-based human service delivery. A 2015 survey of 193 managers from five San Francisco Bay Area county human service departments examined the relationship between contract-based service coordination (i.e., structuring cross-sector services, coordinating client referrals and eligibility, overseeing EBP implementation) and the predictors of managerial role, involvement, and boundary spanning. Multivariate regression results suggested that county managers identified fewer service coordination challenges if they were at the executive and program levels, had greater contract involvement, and engaged in contract-focused boundary spanning. In conclusion, we underscore the organizational and managerial dimensions of contract-based service delivery.


Assuntos
Assistência Integral à Saúde/organização & administração , Serviços Contratados/organização & administração , Serviços de Saúde Mental/organização & administração , Setor Público/organização & administração , Serviço Social/organização & administração , Prática Clínica Baseada em Evidências , Humanos , Relações Interinstitucionais , Qualidade da Assistência à Saúde/organização & administração , São Francisco , Estados Unidos
2.
J Evid Inf Soc Work ; 12(1): 64-79, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25662083

RESUMO

The HUSK projects, involving collaboration between service users, providers, educators, and researchers, coincided with the reorganization of national government services (NAV). The NAV reorganization brought together employment services, social insurance, and municipal social service benefits, and called for a service model where users would be empowered to influence the provision of services. In this analysis of the HUSK cases the authors focus on the relationship between the service user and the service provider, identifying themes in two broad domains: concepts of the individual that included the service user and the service provider and concepts of the relationship that included power, role, activity, interaction, and communication. Within each theme, the analysis highlights the transition from a traditional or historical state to a new or desired state and draws upon some of the classic literature that frames the encounters between service users and providers.


Assuntos
Programas Governamentais/organização & administração , Seguridade Social/psicologia , Serviço Social/organização & administração , Atitude , Comunicação , Comportamento Cooperativo , Prática Clínica Baseada em Evidências , Humanos , Relações Interinstitucionais , Noruega , Poder Psicológico , Papel Profissional , Relações Profissional-Paciente
3.
J Evid Based Soc Work ; 10(3): 147-60, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705647

RESUMO

A growing movement in the United States seeks to improve the outcomes achieved by public agencies through performance measurement strategies. In child welfare policy, a federally mandated performance measurement system has evolved since the 1980s, establishing the federal Child and Family Services Review which uses a series of performance indicators for evaluating the child welfare system. This article reviews the literature on performance measurement and performance management in the public sector in order to develop a conceptual framework for examining the federal child welfare performance measurement system. It briefly summarizes the evolution of federal policy related to performance measurement in child welfare. The framework is then used to guide an analysis of the debate surrounding the establishment of the current child welfare performance measurement system, concluding with recommendations for consideration in future reform efforts.


Assuntos
Proteção da Criança/legislação & jurisprudência , Órgãos Governamentais/organização & administração , Avaliação de Programas e Projetos de Saúde/métodos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Serviço Social/organização & administração , Adoção , Criança , Maus-Tratos Infantis/prevenção & controle , Cuidados no Lar de Adoção/organização & administração , Órgãos Governamentais/legislação & jurisprudência , Humanos , Políticas , Segurança , Serviço Social/legislação & jurisprudência , Fatores de Tempo , Estados Unidos
4.
J Evid Based Soc Work ; 10(3): 161-78, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705648

RESUMO

In the context of the federal child welfare performance measurement system, recurrence of maltreatment refers to circumstances in which children that have previously been substantiated as victims of abuse or neglect experience another incident of substantiated maltreatment. Multiple episodes of maltreatment can lead to: (1) more serious short and long term negative consequences, (2) entry into the juvenile justice system, and (3) juvenile delinquency. In this literature review the authors summarize the research on child, family, and systemic factors related to maltreatment recurrence and promising practices for improving performance. Promising practices aimed at preventing recurrence of maltreatment include interventions at multiple levels (e.g., the child, caregiver, family, and agency) and include a range of service modalities.


Assuntos
Maus-Tratos Infantis/prevenção & controle , Proteção da Criança , Órgãos Governamentais/organização & administração , Avaliação de Programas e Projetos de Saúde/métodos , Serviço Social/organização & administração , Fatores Etários , Cuidadores/psicologia , Criança , Humanos , Saúde Mental , Medição de Risco , Fatores de Risco , Segurança , Fatores Sexuais , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia
5.
J Evid Based Soc Work ; 10(3): 179-95, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705649

RESUMO

In the context of child welfare, family reunification refers to the services that are provided for purposes of returning children who have been placed in out-of-home care to their families of origin. Family reunification is the primary permanency goal for the majority of children who have been placed temporarily outside of their homes. This literature review focuses on the federal Child and Family Services Review composite outcome indicator that seeks to measure agency performance related to family reunification. It describes factors at the level of the agency/system, the family, and the child that are associated with failure to reunify. Practices that have been linked with successful family reunification are described, with particular attention to the period between removal from the home and reunification. The review concludes with questions intended to promote discussion about the use of evidence to support the reunification process within child welfare agencies.


Assuntos
Proteção da Criança , Família , Órgãos Governamentais/organização & administração , Serviço Social/organização & administração , Fatores Etários , Criança , Órgãos Governamentais/normas , Humanos , Saúde Mental , Avaliação de Programas e Projetos de Saúde/métodos , Segurança , Serviço Social/normas , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Fatores de Tempo
6.
J Evid Based Soc Work ; 10(3): 196-209, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705650

RESUMO

Re-entry to foster care generally refers to circumstances in which children who have been discharged from foster care to be reunified with their family of origin, adopted, or provided kinship guardianship are returned to foster care. In the context of the federal performance measurement system, re-entry refers specifically to a return to foster care following an unsuccessful reunification. The federal Children and Family Services Review measures re-entry to foster care with a single indicator, called the permanency of reunification indicator, one of four indicators comprising the reunification composite measure. This review focuses on research related to the re-entry indicator, including the characteristics of children, caregivers and families, as well as case and child welfare services that are associated with a higher or lower risk of re-entry to foster care. Promising post-reunification services designed to prevent re-entry to foster care are described.


Assuntos
Proteção da Criança , Cuidados no Lar de Adoção/organização & administração , Órgãos Governamentais/organização & administração , Serviço Social/organização & administração , Comportamento , Criança , Emoções , Humanos , Saúde Mental , Relações Pais-Filho , Pais/educação
7.
J Evid Based Soc Work ; 10(3): 210-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705651

RESUMO

While family reunification is the primary permanency objective for children who must be placed temporarily outside of their homes, reunification is not possible for all children. For those children who do not return to their parents and cannot find permanent homes with other family members, adoption is the favored outcome. This review examines the composite measure in the federal Child and Family Services Review that measures agency performance related to the timeliness of adoptions of foster children. It summarizes the multiple factors that research has found to be associated with increased risk for adoption delay and disruption. These include child characteristics, family of origin and adoptive family characteristics, and features of child welfare services and systems. Practices that have been broadly linked to adoption timeliness or address risk factors associated with delays in adoption are described, including social worker activities and agency or system-wide practice.


Assuntos
Adoção , Proteção da Criança , Órgãos Governamentais/organização & administração , Serviço Social/organização & administração , Fatores Etários , Criança , Cuidados no Lar de Adoção/organização & administração , Humanos , Pais/educação , Fatores Sexuais , Fatores Socioeconômicos , Fatores de Tempo
8.
J Evid Based Soc Work ; 10(3): 220-34, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705652

RESUMO

Despite the federal emphasis on achieving timely permanency for children who enter foster care, some children continue to remain in foster care for extended periods, with approximately 20,000 children a year "aging out" of foster care into adulthood without having achieved permanency in a family setting ( Dworsky, 2008 ). This literature review focuses on the federal Child and Family Services Review measure that measures agency performance related to achieving permanency for children in foster care for long periods of time. The review summarizes the factors associated with timely discharges from care; while each child and family involved with the child welfare system brings a set of unique challenges and characteristics, research points to common individual and system factors that may be associated with long stays in foster care. Broad strategies that may be linked to achieving permanency are described, followed by explicit models developed to increase the likelihood of timely permanency.


Assuntos
Adoção , Proteção da Criança , Cuidados no Lar de Adoção/organização & administração , Órgãos Governamentais/organização & administração , Serviço Social/organização & administração , Fatores Etários , Criança , Nível de Saúde , Humanos , Saúde Mental , Pais/educação , Fatores Sexuais , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Fatores de Tempo
9.
J Evid Based Soc Work ; 10(3): 235-53, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705653

RESUMO

Placement stability as an outcome goal in child welfare performance measurement is grounded in the importance of providing stability for children as they are developing attachments and relationships to caregivers. Research shows that many children are vulnerable to placement instability, especially those who have been in long term foster care. This literature review provides an overview of the federal placement stability measure. It then summarizes the diverse set of factors has been found to be associated with placement instability, including characteristics of the child and family of origin, placement type and quality, and the child welfare system and services. Promising practices aimed at promoting placement stability are summarized, followed by questions designed to foster discussion about the relationship of the evidence to child welfare practice.


Assuntos
Proteção da Criança , Família , Órgãos Governamentais/organização & administração , Serviço Social/organização & administração , Adoção , Criança , Tomada de Decisões , Emoções , Cuidados no Lar de Adoção/organização & administração , Humanos , Relações Pais-Filho , Pais/educação , Resolução de Problemas
10.
J Evid Based Soc Work ; 10(3): 254-64, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23705654

RESUMO

The federal child welfare performance measurement system exerts a profound influence over the design, delivery, and evaluation of child welfare services at the local level, with funding contingent upon participation in the federally mandated Child and Family Services Review. In this exploratory study the authors focus on local efforts to respond to and comply with the federal child welfare performance measurement system in 11 northern California counties. The authors review the System Improvement Plans of each county and the findings from focus groups with child welfare staff conducted in five of the counties that included the limitations of federal performance measures, the difficulty using these measures to inform decision making, and the continuing struggle to achieve the major child welfare goals of safety, permanency, and well-being. The implications include the need for: flexibility in the federal performance measurement system, opportunities to integrate local values and priorities, and child well-being measures so that timeliness does not take on more significance than well-being or the quality of relationships among local stakeholders in the child welfare system.


Assuntos
Proteção da Criança , Órgãos Governamentais/organização & administração , Avaliação de Programas e Projetos de Saúde/métodos , Serviço Social/organização & administração , Criança , Tomada de Decisões , Governo Federal , Órgãos Governamentais/normas , Humanos , Governo Local , Serviço Social/normas
11.
J Evid Based Soc Work ; 8(1-2): 87-105, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21416432

RESUMO

Coleman Advocates for Youth and Children is a pioneering 30-year-old child advocacy organization founded by several affluent community members and children's service professionals to stop housing abused and neglected children in juvenile hall. Today, low-income youth and parents in families of color are now assuming leadership in developing a unique hybrid approach that integrates community organizing with more traditional child advocacy strategies and focuses on increasing affordable housing and improving the city's educational system. The strategies employed by Coleman have also evolved, shifting from insider advocacy with administrative officials to public campaigns targeting the city budget process, to local initiative campaigns, and most recently to electoral politics. This organizational history features the issues mission and structure, leadership, managing issues, advocacy strategies and community relations, and funding.


Assuntos
Defesa da Criança e do Adolescente/história , Organizações sem Fins Lucrativos/história , Serviço Social/história , Adolescente , California , Criança , Educação/história , Feminino , Administração Financeira/história , Administração Financeira/organização & administração , História do Século XX , História do Século XXI , Humanos , Liderança , Masculino , Organizações sem Fins Lucrativos/organização & administração , Serviço Social/organização & administração
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