Foster Kirk A, Stiffman Arlene R
George Warren Brown School of Social Work, Washington University in St. Louis.
J Technol Hum Serv. 2009 Apr 1;27(2):106-126. doi: 10.1080/15228830902749039.
Child welfare workers must process complex information in deciding to refer clients to appropriate mental health services. Decision support systems (DSS) have been demonstrated in other fields to be an important tool, yet little research has been done in child welfare. This study focused on the adoption of a specific DSS into child welfare practice. Quantitative analysis was used to demonstrate the diffusion of innovation process among a sample of state child welfare workers, while qualitative analysis was used to explain the facilitators and barriers to DSS adoption. Results indicate that for DSSs to be widely adopted in child welfare practice, they should be integrated into the referral system and include workers' knowledge and experiences with referral resources. For successful adoption, DSSs need to respect the natural logic and flow of worker interaction, as well as organizational constraints.
儿童福利工作者在决定将客户转介到适当的心理健康服务机构时,必须处理复杂的信息。决策支持系统(DSS)在其他领域已被证明是一种重要工具,但在儿童福利领域的研究却很少。本研究聚焦于将特定的决策支持系统应用于儿童福利实践。定量分析用于展示创新过程在州儿童福利工作者样本中的传播情况,而定性分析则用于解释决策支持系统采用的促进因素和障碍。结果表明,要使决策支持系统在儿童福利实践中得到广泛应用,应将其整合到转介系统中,并纳入工作者对转介资源的知识和经验。为了成功采用,决策支持系统需要尊重工作者互动的自然逻辑和流程,以及组织限制。