Davis Maryann, Koroloff Nancy, Sabella Kathryn, Sarkis Marianne
Transitions to Adulthood Center for Research, Systems and Psychosocial Advances Research Center, Department of Psychiatry, University of Massachusetts Medical School, 222 Maple Ave., Shrewsbury, MA, 01545, USA.
Regional Research Institute, School of Social Work, Portland State University, PO Box 751, Portland, OR, 97207, USA.
J Behav Health Serv Res. 2018 Jul;45(3):356-369. doi: 10.1007/s11414-018-9588-9.
Programs that serve transition-age youth with serious mental health conditions typically reside in either the child or the adult system. Good service provision calls for interactions among these programs. The objective of this research was to discover programmatic characteristics that facilitate or impede collaboration with programs serving dissimilar age groups, among programs that serve transition-age youth. To examine this "cross-age collaboration," this research used social network analysis methods to generate homophily and heterophily scores in three communities that had received federal grants to improve services for this population. Heterophily scores (i.e., a measure of cross-age collaboration) in programs serving only transition-age youth were significantly higher than the heterophily scores of programs that served only adults or only children. Few other program markers or malleable program factors predicted heterophily. Programs that specialize in serving transition-age youth are a good resource for gaining knowledge of how to bridge adult and child programs.
为患有严重心理健康问题的过渡年龄青年提供服务的项目通常隶属于儿童或成人系统。优质的服务提供需要这些项目之间的互动。本研究的目的是在为过渡年龄青年提供服务的项目中，发现促进或阻碍与服务不同年龄组项目合作的项目特征。为了研究这种“跨年龄合作”，本研究使用社会网络分析方法，在三个获得联邦拨款以改善该人群服务的社区中生成同质性和异质性得分。仅为过渡年龄青年提供服务的项目中的异质性得分（即跨年龄合作的一种衡量指标）显著高于仅为成年人或仅为儿童提供服务的项目的异质性得分。几乎没有其他项目指标或可塑的项目因素能够预测异质性。专门为过渡年龄青年提供服务的项目是获取如何衔接成人和儿童项目知识的良好资源。
