Sword Wendy, Niccols Alison, Yousefi-Nooraie Reza, Dobbins Maureen, Lipman Ellen, Smith Patrick
School of Nursing and Department of Clinical Epidemiology and Biostatistics, McMaster University, HSC 3H48B, 1280 Main Street West, Hamilton, Canada L8S 4K1.
Int J Ment Health Addict. 2013 Jun;11(3):344-357. doi: 10.1007/s11469-012-9418-x.
Women with substance use issues and their children have unique needs that are best met through collaborative and coordinated service delivery offered by a variety of agencies. However, in Canada and elsewhere, services tend to be fragmented and fail to address children's needs. This study aimed to describe the partnership patterns, activities, and qualities among Canadian agencies serving women with addictions and to determine predictors of partnerships. We found that a number of partnerships exist, and that the extent and characteristics of these partnerships vary. Agency responsiveness to clients was predictive of sending referrals whereas friendliness predicted joint programming and consultation. Four central agencies played key linkage roles. Efforts should be made to build on the social capital inherent in these agencies to strengthen existing networks, further develop linkages to improve service delivery, and promote evidence-informed practice in a field where there is an identified research-practice gap.
有药物使用问题的女性及其子女有着独特的需求,而通过各种机构提供的协作与协调服务,这些需求能够得到最佳满足。然而,在加拿大及其他地方,服务往往是分散的,无法满足儿童的需求。本研究旨在描述加拿大为成瘾女性提供服务的各机构之间的伙伴关系模式、活动及特质,并确定伙伴关系的预测因素。我们发现存在若干伙伴关系,且这些伙伴关系的范围和特征各不相同。机构对客户的响应能力可预测转介情况,而友好程度则可预测联合项目和咨询情况。四个核心机构发挥了关键的联系作用。应努力利用这些机构所固有的社会资本,以加强现有网络、进一步发展联系以改善服务提供,并在一个已确定存在研究与实践差距的领域促进循证实践。