Examining Integrated Youth Services Using the Bioecological Model: Alignments and Opportunities

Halsall, Tanya; Manion, Ian; Henderson, Joanna

doi:10.5334/ijic.4165

Cited by 17 publications

(23 citation statements)

References 59 publications

(87 reference statements)

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“…Within the context of mental health and youth development, experts rec ommend the enhancement of care systems through integration, consideration of context, and inclusion of individual voice [17][18][19][20][21]. Internationally, responses to the challenge favour lower barrier, "one stop shops" that provide integrated health and social services in youth-friendly environments [22][23][24][25].…”

Section: Distributive Leadership Within An Emerging Network Of Integrmentioning

confidence: 99%

Distributive Leadership Within an Emerging Network of Integrated Youth Health Centres: A Case Study of Foundry

Salmon¹,

Fernando²,

Berger³

et al. 2020

International Journal of Integrated Care

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Background: Distributive leadership has been proposed as an effective means towards achieving integrated health services. This study draws from the case of Foundry, a network of integrated youth health centres in British Columbia, Canada, and explores the function and impact of distributive leadership in the context of a large-scale effort towards integrated service delivery for youth experiencing mental health and substance use challenges. Methods: Qualitative data was obtained from a developmental evaluation of Foundry using a longitudinal, ethnographic approach. Over 150 participants involved in the development of six Foundry centres were interviewed individually or in focus groups. Purposive and theoretical sampling strategies were used to maximize the diversity of perspectives represented in the data set. Results and Discussion: Distributive leadership was observed to be a facilitator for achieving service and system-level integration. Distributive leadership was effective in promoting streamlined service provision, and coordinating efforts towards optimized access to care. A new culture of leadership emerged through collaboration and relationship-building based on a common value system to prioritize youth needs. Conclusion: As Foundry, and other integrated youth services, continues to expand, distributive leadership shows promise in assuring diverse and coordinated input for integrating services.

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Section: Distributive Leadership Within An Emerging Network Of Integrmentioning

confidence: 99%

Distributive Leadership Within an Emerging Network of Integrated Youth Health Centres: A Case Study of Foundry

Salmon¹,

Fernando²,

Berger³

et al. 2020

International Journal of Integrated Care

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“…The developers' ultimate aim was to improve medical care, the physicians seemed to place the programme largely outside the medical domain instead. A possible reason for this might be the approach of the cardiology programme itself: In recent years, integrated care became increasingly patient-centred with rather holistic approaches, including patients, nurses, social services and other non-medical staff [22][23][24][25]. The cardiology programme however, even though it aims at an optimisation and integration of care in the ambulatory sector, mainly focuses on structuring and enhancing care provided solely by the medical specialist through higher remunerations.…”

Section: Financial Motives Of Physicians and Aims Of The Programmementioning

confidence: 99%

Influences on Physicians’ Participation in Coordinated Ambulatory Cardiology Care: A Mixed-Methods Study

Hennrich¹,

Bölter²,

Wensing

2020

International Journal of Integrated Care

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In 2009 a managed care programme for coordinated ambulatory cardiology care was established in Southern Germany. Designed as a voluntary contract between health insurers and ambulatory medical specialists, it aims for a guideline-oriented, efficient health care by general practitioners and medical specialists. In this study, we aimed to identify factors associated with physicians' participation and their relation to the aims of the programme. Methods: A mixed-methods study was designed. We conducted semi-structured interviews with a sample of 21 specialists participating and 11 specialists not participating in the programme. Structured questionnaires were sent to all eligible medical specialists, of whom 75 specialists participating and 21 specialists not participating in the programme responded. Both the interview and questionnaire covered a range of questions on the participation and implementation of the program. Results: Financial benefits were the most frequently named reason to participate. Other prevalent motives were the prospect of an alternative to regular health care, expected diagnostic possibilities and recommendations from peers. Reasons for not participating were mainly structural, such as technical modifications as well as economic investments and fear for one's professional autonomy. Conclusion: Physicians' participation in the programme was mainly financially driven and largely unrelated to its care-related aims. Still, it is unclear if these divergences between motivation to participate and aims of a managed care programme affect its eventual impact, hence further research is required.

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“…In Canada, the mental health system is characterised by segmented, specialised services designed to target isolated problems that lack a consideration of contextual determinants on mental health [5]. As a result, services are unable to provide holistic support that can be tailored to the individual within their context.…”

Section: Iys and Fraymementioning

confidence: 99%

“…In addition, researchers have argued that the analysis of social connections within networks is the most valuable way to reveal the smaller scale interactions that influence broad scale patterns [4]. Integrated youth service (IYS) is a collaborative model that brings organisations together to provide holistic care that often includes mental health, substance use and addictions, primary care (including sexual health) and other social services [5][6][7][8][9]. Frayme is an international knowledge translation (KT) network designed to support the uptake and scaling of IYS [5,10].…”

Section: Introductionmentioning

confidence: 99%

“…Integrated youth service (IYS) is a collaborative model that brings organisations together to provide holistic care that often includes mental health, substance use and addictions, primary care (including sexual health) and other social services [5][6][7][8][9]. Frayme is an international knowledge translation (KT) network designed to support the uptake and scaling of IYS [5,10]. This paper examines the partnerships developed within the Frayme network using social network analysis (SNA) and applies the findings to current research in KT for health promotion in order to enhance understanding of how such networks can improve outcomes in youth mental health.…”

Section: Introductionmentioning

confidence: 99%

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Examining partnerships within an international knowledge translation network focused on youth mental health promotion

Halsall

Manion

Henderson

et al. 2020

Health Res Policy Sys

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Background: Systems transformation for health promotion, involving engagement from multiple disciplines and levels of influence, requires an investment in partnership development. Integrated youth service is a collaborative model that brings organisations together to provide holistic care for youth. Frayme is an international knowledge translation network designed to support the uptake and scaling of integrated youth service. Social network analysis (SNA) is the study of relationships among social units and is useful to better understand how partners collaborate within a network to achieve major objectives. The purpose of this paper is to apply SNA to the Frayme network in order to (1) examine the level and strength of partnerships, (2) identify the strategies being employed to promote the main objectives and (3) apply the findings to current research in youth mental health and system transformation.Methods: The PARTNER tool includes a validated survey and analysis software designed to examine partner interconnections. This tool was used to perform the SNA and 51 of the 75 partners completed the survey (14 researchers, 2 advisory groups and 35 organisations). A network map was created and descriptive frequencies were calculated. Results: The overall network scores for the Frayme network were 20.6% for density, 81.5% for centralisation and 71.7% for overall trust. The Frayme secretariat received a 3.84 out of a possible 4 for value. In addition, the youth and family advisories each received a value score of 4 and all Leadership Team organisations received a score of 2.97 or above. Conclusions:The Frayme secretariat links many partners who would otherwise be disconnected and acts as a significant conduit for novel information. Frayme may have the opportunity to enhance value perceptions among broader network members by profiling individual organisations and the potential leveraging opportunities that might exist through their work. These findings increase understanding with respect to the mechanisms of network development and will be helpful to inform partnership development in the future. In addition, they contribute to the literature with respect to knowledge translation practice as well as the scaling of collaborative interventions within youth mental health.

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Examining Integrated Youth Services Using the Bioecological Model: Alignments and Opportunities

Cited by 17 publications

References 59 publications

Distributive Leadership Within an Emerging Network of Integrated Youth Health Centres: A Case Study of Foundry

Distributive Leadership Within an Emerging Network of Integrated Youth Health Centres: A Case Study of Foundry

Influences on Physicians’ Participation in Coordinated Ambulatory Cardiology Care: A Mixed-Methods Study

Examining partnerships within an international knowledge translation network focused on youth mental health promotion

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