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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 5/2016

01.10.2015 | Original Article

Constraints and Benefits of Child Welfare Contracts with Behavioral Health Providers: Conditions that Shape Service Access

verfasst von: Alicia C. Bunger, Yiwen Cao, Amanda M. Girth, Jill Hoffman, Hillary A. Robertson

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 5/2016

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Abstract

This qualitative study examines worker perceptions of how public child welfare agencies’ purchase of service contracts with private behavioral health organizations can both facilitate and constrain referral making and children’s access to services. Five, 90-min focus groups were conducted with workers (n = 50) from an urban public child welfare agency in the Midwest. Using a modified grounded theory approach, findings suggest that contracts may expedite service linkages, but contract benefits are conditioned upon design and implementation. Results also suggest the critical role of front line workers in carrying out contractual relationships. Implications for research and interventions for enhancing contracting are discussed.
Literatur
Zurück zum Zitat Barrett, T. J., Berger, B. L., & Bradley, L. A. (1992). Performance contracting: The Colorado model revisited. Administration and Policy in Mental Health, 20(2), 75–85. doi:10.1007/BF00706074.CrossRef Barrett, T. J., Berger, B. L., & Bradley, L. A. (1992). Performance contracting: The Colorado model revisited. Administration and Policy in Mental Health, 20(2), 75–85. doi:10.​1007/​BF00706074.CrossRef
Zurück zum Zitat Brodkin, E. Z. (1997). Inside the welfare contract: Discretion and accountability in state welfare administration. Social Service Review, 71(1), 1–33.CrossRef Brodkin, E. Z. (1997). Inside the welfare contract: Discretion and accountability in state welfare administration. Social Service Review, 71(1), 1–33.CrossRef
Zurück zum Zitat Bunger, A. C., Stiffman, A. R., Foster, K. A., & Shi, P. (2009). Child welfare workers' connectivity to resources and youth’s receipt of services. Advances in Social Work, 10(1), 1–21. Bunger, A. C., Stiffman, A. R., Foster, K. A., & Shi, P. (2009). Child welfare workers'  connectivity to resources and youth’s receipt of services. Advances in Social Work, 10(1), 1–21.
Zurück zum Zitat Burns, B. J., Phillips, S., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., & Landsverk, J. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 960–970.CrossRefPubMed Burns, B. J., Phillips, S., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., & Landsverk, J. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 960–970.CrossRefPubMed
Zurück zum Zitat Fedoravicius, N., McMillen, J. C., Rowe, J., Kagotho, N., & Ware, N. C. (2008). Funneling child welfare consumers into and through the mental health system: Assessment, referral, and quality issues. Social Service Review, 82(2), 273–290.CrossRefPubMedPubMedCentral Fedoravicius, N., McMillen, J. C., Rowe, J., Kagotho, N., & Ware, N. C. (2008). Funneling child welfare consumers into and through the mental health system: Assessment, referral, and quality issues. Social Service Review, 82(2), 273–290.CrossRefPubMedPubMedCentral
Zurück zum Zitat Fitzgerald, M. M., Torres, M. M., Shipman, K., Gorrono, J., Kerns, S. E. U., & Dorsey, S. (2015). Child welfare caseworkers as brokers of mental health services: A pilot evaluation of project focus Colorado. Child Maltreatment, 20(1), 37–49.CrossRefPubMed Fitzgerald, M. M., Torres, M. M., Shipman, K., Gorrono, J., Kerns, S. E. U., & Dorsey, S. (2015). Child welfare caseworkers as brokers of mental health services: A pilot evaluation of project focus Colorado. Child Maltreatment, 20(1), 37–49.CrossRefPubMed
Zurück zum Zitat Foster, K. A., & Stiffman, A. R. (2009). Child welfare workers’ adoption of decision support technology. The Journal of Technology in Human Services, 27(2), 1–21.CrossRef Foster, K. A., & Stiffman, A. R. (2009). Child welfare workers’ adoption of decision support technology. The Journal of Technology in Human Services, 27(2), 1–21.CrossRef
Zurück zum Zitat Girth, A. M., Hefetz, A., Johnston, J. M., & Warner, M. E. (2012). Outsourcing public service delivery: Management responses in noncompetive markets. Public Administration Review, 72(6), 887–900. doi:10.111/j.1540-6210.2012.02596.x. Girth, A. M., Hefetz, A., Johnston, J. M., & Warner, M. E. (2012). Outsourcing public service delivery: Management responses in noncompetive markets. Public Administration Review, 72(6), 887–900. doi:10.​111/​j.​1540-6210.​2012.​02596.​x.
Zurück zum Zitat Hurlburt, M. S., Leslie, L. K., Landsverk, J., Barth, R. P., Burns, B. J., Gibbons, R. D., et al. (2004). Contextual predictors of mental health service use among children open to child welfare. Archives of General Psychiatry, 61(12), 1217–1224.CrossRefPubMedPubMedCentral Hurlburt, M. S., Leslie, L. K., Landsverk, J., Barth, R. P., Burns, B. J., Gibbons, R. D., et al. (2004). Contextual predictors of mental health service use among children open to child welfare. Archives of General Psychiatry, 61(12), 1217–1224.CrossRefPubMedPubMedCentral
Zurück zum Zitat Johnston, J. M., & Girth, A. M. (2012). Government contracts and “managing the market”: Exploring the costs of strategic management responses to weak vendor competition. Administration & Society, 44(1), 3–29. doi:10.1177/0095399711417396.CrossRef Johnston, J. M., & Girth, A. M. (2012). Government contracts and “managing the market”: Exploring the costs of strategic management responses to weak vendor competition. Administration & Society, 44(1), 3–29. doi:10.​1177/​0095399711417396​.CrossRef
Zurück zum Zitat Johnston, J. M., & Romzek, B. S. (1999). Contracting and accountability in state medicaid reform: Rhetoric, theories, and reality. Public Administration Review, 59(5), 383–399.CrossRef Johnston, J. M., & Romzek, B. S. (1999). Contracting and accountability in state medicaid reform: Rhetoric, theories, and reality. Public Administration Review, 59(5), 383–399.CrossRef
Zurück zum Zitat Johnston, J. M., & Romzek, B. S. (2008). Social welfare contracts as networks: The impact of network stability on management and performance. Administration & Society, 40(2), 115–146. doi:10.1177/0095399707312826.CrossRef Johnston, J. M., & Romzek, B. S. (2008). Social welfare contracts as networks: The impact of network stability on management and performance. Administration & Society, 40(2), 115–146. doi:10.​1177/​0095399707312826​.CrossRef
Zurück zum Zitat Kerns, S. E., Pullmann, M. D., Putnam, B., Buher, A., Holland, S., Berliner, L., et al. (2014). Child welfare and mental health: Facilitators of and barriers to connecting children and youths in out-of-home care with effective mental health treatment. Children and Youth Services Review, 46, 315–324. doi:10.1016/j.childyouth.2014.09.013.CrossRef Kerns, S. E., Pullmann, M. D., Putnam, B., Buher, A., Holland, S., Berliner, L., et al. (2014). Child welfare and mental health: Facilitators of and barriers to connecting children and youths in out-of-home care with effective mental health treatment. Children and Youth Services Review, 46, 315–324. doi:10.​1016/​j.​childyouth.​2014.​09.​013.CrossRef
Zurück zum Zitat Kolko, D. J., Herschell, A. D., Costello, A. H., & Kolko, R. P. (2009). Child welfare recommendations to improve mental health services for children who have experienced abuse and neglect: A national perspective. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 50–62. doi:10.1007/s10488-008-0202-y.CrossRefPubMed Kolko, D. J., Herschell, A. D., Costello, A. H., & Kolko, R. P. (2009). Child welfare recommendations to improve mental health services for children who have experienced abuse and neglect: A national perspective. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 50–62. doi:10.​1007/​s10488-008-0202-y.CrossRefPubMed
Zurück zum Zitat Lambright, K. T. (2009). Agency theory and beyond: Contracted providers’ motivations to properly use service monitoring tools. Journal of Public Administration Research and Theory, 19(2), 207–227.CrossRef Lambright, K. T. (2009). Agency theory and beyond: Contracted providers’ motivations to properly use service monitoring tools. Journal of Public Administration Research and Theory, 19(2), 207–227.CrossRef
Zurück zum Zitat Lamothe, S. (2015). How competitive is “competitive” procurement in the social services? The American Review of Public Administration, 45(5), 584–606.CrossRef Lamothe, S. (2015). How competitive is “competitive” procurement in the social services? The American Review of Public Administration, 45(5), 584–606.CrossRef
Zurück zum Zitat Libby, A. M. (1997). Contracting between public and private providers: A survey of mental health services in California. Administration and Policy In Mental Health, 24(4), 323–338. doi:10.1007/BF02042517.CrossRefPubMed Libby, A. M. (1997). Contracting between public and private providers: A survey of mental health services in California. Administration and Policy In Mental Health, 24(4), 323–338. doi:10.​1007/​BF02042517.CrossRefPubMed
Zurück zum Zitat McBeath, B., Collins-Camargo, C., & Chuang, E. (2012). The role of the private sector in child welfare: Historical reflections and a contemporary snapshot based on the National Survey of Private Child and Family Serving Agencies. Journal of Public Child Welfare, 6(4), 459–481. doi:10.1080/15548732.2012.701839.CrossRef McBeath, B., Collins-Camargo, C., & Chuang, E. (2012). The role of the private sector in child welfare: Historical reflections and a contemporary snapshot based on the National Survey of Private Child and Family Serving Agencies. Journal of Public Child Welfare, 6(4), 459–481. doi:10.​1080/​15548732.​2012.​701839.CrossRef
Zurück zum Zitat McBeath, B., & Meezan, W. (2009). Governance in motion: Service provision and child welfare outcomes in a performance-based, managed care contracting environment. Journal of Public Administration Research and Theory, 20(Supplement 1), i101–i123. doi:10.1093/jopart/mup037.CrossRef McBeath, B., & Meezan, W. (2009). Governance in motion: Service provision and child welfare outcomes in a performance-based, managed care contracting environment. Journal of Public Administration Research and Theory, 20(Supplement 1), i101–i123. doi:10.​1093/​jopart/​mup037.CrossRef
Zurück zum Zitat Milward, H. B., & Provan, K. G. (2000). Governing the hollow state. Journal of Public Administration Research and Theory, 10(2), 359–379.CrossRef Milward, H. B., & Provan, K. G. (2000). Governing the hollow state. Journal of Public Administration Research and Theory, 10(2), 359–379.CrossRef
Zurück zum Zitat Milward, H. B., & Provan, K. (2003). Managing the hollow state: Collaboration and contracting. Public Management Review, 5(1), 1–18.CrossRef Milward, H. B., & Provan, K. (2003). Managing the hollow state: Collaboration and contracting. Public Management Review, 5(1), 1–18.CrossRef
Zurück zum Zitat Provan, K. G., & Milward, H. B. (1995). A preliminary theory of interorganizational network effectiveness: A comparative study of four community mental health systems. Administrative Science Quarterly, 40(1), 1–33.CrossRef Provan, K. G., & Milward, H. B. (1995). A preliminary theory of interorganizational network effectiveness: A comparative study of four community mental health systems. Administrative Science Quarterly, 40(1), 1–33.CrossRef
Zurück zum Zitat Schlesinger, M., Dorwart, R. A., & Pulice, R. T. (1986). Competitive bidding and states’ purchase of services: The case of mental health care in Massachusetts. Journal of Policy Analysis and Management, 5(2), 245–263. doi:10.1002/pam.4050050205.CrossRefPubMed Schlesinger, M., Dorwart, R. A., & Pulice, R. T. (1986). Competitive bidding and states’ purchase of services: The case of mental health care in Massachusetts. Journal of Policy Analysis and Management, 5(2), 245–263. doi:10.​1002/​pam.​4050050205.CrossRefPubMed
Zurück zum Zitat Smith, B. D., & Donovan, S. E. (2003). Child welfare practice in organizational and institutional context. Social Service Review, 77, 541–563.CrossRef Smith, B. D., & Donovan, S. E. (2003). Child welfare practice in organizational and institutional context. Social Service Review, 77, 541–563.CrossRef
Zurück zum Zitat Smith, S. R., & Smyth, J. (1996). Contracting for services in a decentralized system. Journal of Public Administration Research and Theory, 6(2), 277–296.CrossRef Smith, S. R., & Smyth, J. (1996). Contracting for services in a decentralized system. Journal of Public Administration Research and Theory, 6(2), 277–296.CrossRef
Zurück zum Zitat Steinman, K. J., Kelleher, K., Dembe, A. E., Wickizer, T. M., & Hemming, T. (2012). The use of a “mystery shopper” methodology to evaluate children’s access to psychiatric services. The Journal of Behavioral Health Services & Research, 39(3), 305–313. doi:10.1007/s11414-012-9275-1.CrossRef Steinman, K. J., Kelleher, K., Dembe, A. E., Wickizer, T. M., & Hemming, T. (2012). The use of a “mystery shopper” methodology to evaluate children’s access to psychiatric services. The Journal of Behavioral Health Services & Research, 39(3), 305–313. doi:10.​1007/​s11414-012-9275-1.CrossRef
Zurück zum Zitat Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications.
Zurück zum Zitat Van Slyke, D. M. (2007). Agents or stewards: Using theory to understand the government-nonprofit social service contracting relationship. Journal of Public Administration Research and Theory, 17(2), 157–187. doi:10.1093/jopart/mul012.CrossRef Van Slyke, D. M. (2007). Agents or stewards: Using theory to understand the government-nonprofit social service contracting relationship. Journal of Public Administration Research and Theory, 17(2), 157–187. doi:10.​1093/​jopart/​mul012.CrossRef
Metadaten
Titel
Constraints and Benefits of Child Welfare Contracts with Behavioral Health Providers: Conditions that Shape Service Access
verfasst von
Alicia C. Bunger
Yiwen Cao
Amanda M. Girth
Jill Hoffman
Hillary A. Robertson
Publikationsdatum
01.10.2015
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 5/2016
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0686-1

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