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首页> 外文学位 >Multidisciplinary clinical consultation in child protection: Contextual influences and stakeholder perceptions of best practices.
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Multidisciplinary clinical consultation in child protection: Contextual influences and stakeholder perceptions of best practices.

机译：儿童保护方面的多学科临床咨询：情境影响和利益相关者对最佳实践的看法。

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摘要

Presented in this study are "best practices" drawn from a multi-method examination of an innovative multidisciplinary clinical consultation program in a large, governmental child protection agency.;Experiences of multiple key stakeholders (N=90) were studied through in-depth qualitative face-to-face interviews and were combined with quantitative data-mining of available consultation records (N=1,455) and ethnographic observation in order to derive organizational dimensions and practices associated with successful program implementation.;Using the program development theory by Tripodi, Fellin, and Epstein (1977) and Bielawski and Epstein (1984), the study described and evaluated the evolution of the multidisciplinary clinical consultation practice through the four stages of program initiation, contact, implementation, and stabilization. More specifically, this organizational case study portrays the collaborative process between clinical consultation teams, comprised of domestic violence, substance abuse, and mental health consultants and a team coordinator, and child protective caseworkers and supervisors; knowledge integration of domestic violence, mental health, and substance abuse in child protective work; contextual, structural, and organizational differences and influences; impact of collaboration on child protective staff and their decision-making about the cases; factors contributing to and inhibiting collaborations; strategies for overcoming the challenges in collaborations; and implications for practice.;The study findings suggest that multidisciplinary collaboration is multidimensional, interactional, and developmental. Many factors contribute to shaping "best practice" in multidisciplinary collaboration in child protection. These factors are interactional in nature and may facilitate or undermine collaborative practices. Synthesizing data from the study findings, six factors were identified as most important in achieving a best practice: preplanning, commitment, communication, strong leadership, understanding the cultures of collaborating agencies, and structural supports and adequate resources for collaboration. The strategies to achieve them must include efforts at dual levels: individual and organizational.;Although the data were drawn from only one program, the issues uncovered and generalizations drawn are consistent with research in other organizational environments suggesting that the types of difficulties experienced in the collaborative process may be highly transferable and strategies for improving collaborative practices may be applicable to a variety of settings.
机译：这项研究提出的是“最佳实践”，它是从大型政府儿童保护机构的创新性多学科临床咨询计划的多方法检验中得出的。面对面访谈，并与可用咨询记录（N = 1,455）和人种学观察相结合的定量数据挖掘，以得出与成功实施计划相关的组织规模和实践。;使用Tripodi，Fellin的计划开发理论，以及Epstein（1977）和Bielawski和Epstein（1984），该研究通过程序启动，接触，实施和稳定的四个阶段来描述和评估多学科临床咨询实践的发展。更具体地说，本组织案例研究描绘了由家庭暴力，药物滥用，心理健康顾问和团队协调员组成的临床咨询小组与保护儿童的案例工作者和监督者之间的协作过程；将家庭暴力，心理健康和药物滥用知识纳入儿童保护工作中；上下文，结构和组织上的差异和影响；合作对儿童保护人员及其案件决策的影响；促进和抑制合作的因素；克服合作挑战的策略；研究实践表明，多学科协作是多维，互动和发展的。在保护儿童的多学科合作中，有许多因素有助于塑造“最佳实践”。这些因素本质上是相互作用的，可能促进或破坏协作实践。综合研究结果得出的数据，六个因素被认为是实现最佳实践的最重要因素：预先计划，承诺，沟通，强有力的领导，了解合作机构的文化，结构性支持和足够的合作资源。实现这些目标的策略必须包括在个人和组织这两个层面上的努力；尽管数据仅来自一个程序，但是发现的问题和得出的概括与在其他组织环境中的研究相一致，这表明在组织中遇到的困难类型协作过程可能具有很高的可转移性，并且用于改进协作实践的策略可能适用于各种环境。

著录项

  • 作者

    Lalayants, Marina.;

  • 作者单位

    City University of New York.;

  • 授予单位 City University of New York.;
  • 学科 Social Work.;Sociology Public and Social Welfare.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 267 p.
  • 总页数 267
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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