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Perceptions of interprofessional collaboration at the intersection of child welfare and child and adolescent psychiatry in Germany

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  • Jörns-Presentati, Astrid
  • Groen, Gunter

Abstract

In Germany (and other countries) a significant proportion of children and young people in contact with the child welfare system do not receive adequate mental health care. Fragmented service delivery has been partially attributed to a lack of interprofessional collaboration between the child welfare system and providers of child mental health services. Child and adolescent psychiatric (CAP) clinics provide the majority of child mental health care for the child welfare population in Germany. In this paper, we present the first wave of data collected in a nonrandomized pretest–posttest intervention study, in which we examined the collaboration between child welfare services and CAP clinics in Northern Germany with a sample of N = 204 professionals in total, from both organizations. We used two standardized measurements. The general quality of collaboration was measured using an established tool, the “Perceptions of Interprofessional Collaboration Model – Questionnaire” (PINCOM-Q). Perceptions of collaboration around children with complex care needs were measured with a newly developed scale, the “Perceptions of Interprofessional Collaboration Scale for Children with Multiple and Complex Needs” (PICOCC). The results show that perceptions of interprofessional collaboration differed based on organizational and professional affiliation. Frontline workers employed in the child welfare system compared to those working in CAP clinics had a more negative perception of collaboration in general, and felt their organization provided less support for collaboration. Social workers in both CAP and child welfare services perceived less organizational support for collaboration compared to mental health professionals. In the overall group of social workers, those working in the child welfare system felt their organization supported collaboration the least. Mental health professionals working in CAP clinics, however, had a more negative perception of collaboration around children with complex needs. This suggests that attention should be paid to perceptions of interprofessional collaboration as an important process variable, which may impact on frontline workers’ responsiveness to organizational change.

Suggested Citation

  • Jörns-Presentati, Astrid & Groen, Gunter, 2023. "Perceptions of interprofessional collaboration at the intersection of child welfare and child and adolescent psychiatry in Germany," Children and Youth Services Review, Elsevier, vol. 149(C).
  • Handle: RePEc:eee:cysrev:v:149:y:2023:i:c:s0190740923001160
    DOI: 10.1016/j.childyouth.2023.106921
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    References listed on IDEAS

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    1. Mack, Judith & Wanderer, Sina & Keitel, Janin & Bittner, Jana & Herrmann, Elisabeth & Ehrlich, Stefan & Roessner, Veit, 2017. "Better together? Cooperation between youth welfare office and child and adolescent psychiatry: A methodological approach," Children and Youth Services Review, Elsevier, vol. 79(C), pages 44-49.
    2. He, Amy S. & Lim, Caroline S. & Lecklitner, Greg & Olson, Adrienne & Traube, Dorian E., 2015. "Interagency collaboration and identifying mental health needs in child welfare: Findings from Los Angeles County," Children and Youth Services Review, Elsevier, vol. 53(C), pages 39-43.
    3. Winters, Andrew M. & Collins-Camargo, Crystal & Antle, Becky F. & Verbist, A. Nathan, 2020. "Implementation of system-wide change in child welfare and behavioral health: The role of capacity, collaboration, and readiness for change," Children and Youth Services Review, Elsevier, vol. 108(C).
    4. Tarren-Sweeney, Michael, 2008. "Retrospective and concurrent predictors of the mental health of children in care," Children and Youth Services Review, Elsevier, vol. 30(1), pages 1-25, January.
    5. Vasileva, Mira & Petermann, Franz, 2017. "Mental health needs and therapeutic service utilization of young children in foster care in Germany," Children and Youth Services Review, Elsevier, vol. 75(C), pages 69-76.
    6. Barth, Richard P. & Rozeff, Leslie J. & Kerns, Suzanne E.U. & Baldwin, Melinda J., 2020. "Partnering for Success: Implementing a cross-systems collaborative model between behavioral health and child welfare," Children and Youth Services Review, Elsevier, vol. 117(C).
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