Dataset Information

Determinants of adherence to wrap-around care in child and family services.

ABSTRACT: BACKGROUND:The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting families with complex needs. The core components of WAC involve activating family members and the social network, integrating the care provider network, and assessing, planning and evaluating the care process. WAC was introduced in the Netherlands using two approaches: the network approach (NA) and the team approach (TA). METHODS:A cross-sectional study was conducted using a digital questionnaire targeted at care providers. After imputation of missing data, univariate and multilevel regression analyses were conducted to study the associations between adherence to the core components of WAC, the determinants of adherence and background characteristics. RESULTS:In total 145 out of 275 care providers (52.7%) responded to the questionnaire. Multilevel regression analysis showed that self-efficacy of the care providers and the way WAC is organised (NA versus TA region) were significantly associated with adherence to core components of WAC. Self-efficacy was significantly associated with all WAC core components (activating family members and the social network: ? (95% confidence interval, CI)?=?.27(.04-.50), integrating the network of care providers: ? (95% CI)?=?.27(.05-.50) and assessing, planning and evaluating the care process: ? (95% CI)?=?.30(.08-.52)). The way WAC is organised was significantly associated to two core components (activating family members and the social network: ? (95% CI)?=?.18(0.1-.37) and integrating the network of care providers: ? (95% CI)?=?.25(.09-.42)). CONCLUSION:The way WAC is organised and the self-efficacy of care providers who use WAC are factors that are relevant for the redesign of the strategy for introducing WAC. Longitudinal research into the predictive value of determinants of adherence to WAC is advised.

SUBMITTER: Pannebakker NM

PROVIDER: S-EPMC6350391 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Determinants of adherence to wrap-around care in child and family services.

Pannebakker Noortje M NM Fleuren Margot A H MAH Vlasblom Eline E Numans Mattijs E ME Reijneveld Sijmen A SA Kocken Paul L PL

BMC health services research 20190128 1

<h4>Background</h4>The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting families with complex needs. The core components of WAC involve activating family members and the social network, integrating the care provider network, and assessing, planning and evaluating the care process. WAC was introduced in the Netherlands using two approaches: the ...[more]

PMID: 30691460

Similar Datasets

Project description:ObjectiveA multiple case-study in which each case was evaluated by adult and child mental health professionals who used an integrated family approach in their treatments. In this approach, treatment focuses on the mental disorders of the parents as well as on the development of the young child and family relationships. This study evaluated the experiences of professionals from adult and child mental health services using this approach. The aim of the study is identifying key elements of this approach, processes involved in treatment, and barriers to its success, with the aim of contributing to the development of practice based integrated mental health care for the whole family.BackgroundParental mental disorders have an impact on parenting and child development. To stop detrimental cascade effects and prevent parent and child from being caught up in the intergenerational transmission of psychopathology, an integrated family approach in mental health care is needed. Methods: A qualitative case study design using a grounded theory approach. Data were collected through 19 group interviews of professionals (N = 37) from adult and infant mental health teams who worked together in the treatment of a family.ResultsProfessionals from the two services were comfortable coping with complexity and felt supported to perform their treatments by staying in touch with each other in multi-disciplinary consultations. They indicated that by attuning the treatment components to each other and tailoring them to the capabilities of the family, their treatments had more impact. A flexible attitude of all involved professionals and commitment to the interest of all family members was essential.ConclusionAccording to professionals, treatment with an integrated family approach in mental health care is of value for families by addressing the distinct roles, positions and relationships, by implementing a flexible complementary treatment plan, and by empowering professionals by multi-disciplinary consultations.

Dataset Information

Determinants of adherence to wrap-around care in child and family services.

Publications

Determinants of adherence to wrap-around care in child and family services.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets