Mack Judith, Wanderer Sina, Kölch Michael, Roessner Veit
1Department of Child and Adolescent Psychiatry, Faculty of Medicine Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307 Dresden, Germany.
2Department of Child and Adolescent Psychiatry, Neurology, Psychosomatics and Psychotherapy Rostock University Medical Center, University of Rostock, Rostock, Germany.
Child Adolesc Psychiatry Ment Health. 2019 Aug 29;13:34. doi: 10.1186/s13034-019-0294-z. eCollection 2019.
Due to the increasing rate of children and families who require support from both youth welfare services and from mental health services, a solid cross-institutional cooperation is needed to provide coordinated and integrated help. Studies involving not only qualitative, but also quantitative information from both services regarding not only general, but also case specific views on cross-institutional cooperation and psychosocial needs are lacking.
Hence, we collected data from = 96 children and families who received support from youth welfare office (YWO) and child and adolescents psychiatry (CAP) simultaneously. In a longitudinal survey, we assessed the evaluation of case specific cross-institutional cooperation and psychosocial needs by employees of YWO and CAP as well as descriptive data (including psychopathology of children) over a 6-month period. Repeated-measures ANOVAs were conducted to assess the effects of time and institution (YWO/CAP) on employees' evaluation of case specific cross-institutional cooperation and psychosocial needs as well as children's psychopathology.
The data showed that generally YWO employees rated the case specific communication better than CAP employees. Furthermore, CAP employees estimated psychosocial needs higher than YWO employees did. The employees' evaluation of total case specific cross-institutional cooperation did not differ between the employees of both institutions; it further did not change over time. The case specific evaluations did not correlate between the case responsible employees of YWO and CAP.
The data showed satisfaction with the case specific cross-institutional cooperation in general, but meaningful differences in case specific ratings between both institutions indicate the possibility and need for improvement in daily work and cooperation as well as in regulations and contractual agreements. The implementation of more exchange of higher quality and transparency will ensure smoother cross-institutional cooperation. Future research should pursue this topic to convey the need for further improvement in cross-institutional cooperation into decision-making processes and to evaluate the success of innovative projects in this field.
由于需要青年福利服务和心理健康服务支持的儿童及家庭数量不断增加，因此需要稳固的跨机构合作来提供协调一致的综合帮助。目前缺乏不仅涉及定性信息，还包括来自这两种服务机构的关于跨机构合作及心理社会需求的一般性和具体案例观点的定量信息的研究。
因此，我们收集了来自96名同时接受青年福利办公室（YWO）和儿童与青少年精神病学（CAP）支持的儿童及家庭的数据。在一项纵向调查中，我们评估了YWO和CAP的员工对具体案例的跨机构合作及心理社会需求的评价，以及6个月期间的描述性数据（包括儿童的精神病理学情况）。进行重复测量方差分析以评估时间和机构（YWO/CAP）对员工对具体案例的跨机构合作及心理社会需求评价以及儿童精神病理学的影响。
数据显示，总体而言，YWO员工对具体案例沟通的评价优于CAP员工。此外，CAP员工对心理社会需求的估计高于YWO员工。两个机构的员工对具体案例的跨机构合作总体评价没有差异；而且随时间也没有变化。YWO和CAP的具体案例负责人之间的评价没有相关性。
数据表明总体上对具体案例的跨机构合作感到满意，但两个机构在具体案例评分上存在显著差异，这表明日常工作与合作以及规章制度和合同协议方面存在改进的可能性和必要性。开展更多高质量、透明的交流将确保跨机构合作更加顺畅。未来的研究应探讨这一主题，以便将跨机构合作进一步改进的需求纳入决策过程，并评估该领域创新项目的成效。
