Social Work and Social Care, University of Chichester, Chichester, UK.
J Interprof Care. 2012 Mar;26(2):134-40. doi: 10.3109/13561820.2011.630111.
Transformation in the structure and delivery of services for children and young people in the UK Children Act (Department for Education & Skills, 2004. The Children Act. London: HMSO) initiated new alliances between statutory, public and voluntary agencies. Traditional relationships and notions of partnership have been extended, necessitating an innovative approach to dialogue and multiple perspectives. Hudson's assertion that although the "rhetoric on partnering remains strong, the real policy thrust is now about choice and contestability" (2006, Journal of Integrated Care, 14(1), 13-21) exemplifies the dynamic policy context around notions of partnership and the rationale for collaborative advantage. This paper explores the experiences of practitioners working in a relatively new multi-agency context--the common assessment framework (CAF). Envisaged as a standardized approach to the assessment of need and as a tool to facilitate integrated working, the CAF is utilized by practitioners in the UK to improve outcomes for children and young people. We present data from a study that employed an interpretative phenomenological analysis approach and gathered semi-structured interviews with 20 practitioners. Interviews drew upon their experiences of interprofessional working in which diversity, partnership working, and competing aims and objectives emerged as significant themes. The insights that were gained are discussed in terms of their potential impact on service delivery in the UK and their contribution toward responsive practice across dynamic professional boundaries.
英国《儿童法案》（教育与技能部，2004 年）推动了儿童和青少年服务结构和提供方式的转变，在法定机构、公共机构和志愿机构之间建立了新的联盟。传统的关系和伙伴关系概念得到了扩展，这需要对对话和多种观点采取创新的方法。哈德森断言，尽管“伙伴关系的言论仍然强烈，但真正的政策重点现在是选择和竞争”（2006 年，《综合护理杂志》，14（1），13-21），这例证了伙伴关系概念和协作优势的动态政策背景。本文探讨了在相对较新的多机构环境中工作的从业者的经验——共同评估框架（CAF）。CAF 被设想为一种评估需求的标准化方法，也是促进综合工作的工具，英国的从业者使用它来改善儿童和年轻人的结果。我们展示了一项研究的数据，该研究采用了解释性现象学分析方法，并对 20 名从业者进行了半结构化访谈。访谈借鉴了他们在多专业工作中的经验，多样性、伙伴关系工作以及相互竞争的目标和宗旨成为重要主题。我们根据这些见解对英国服务提供的潜在影响及其对跨越动态专业界限的响应性实践的贡献进行了讨论。
