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Cost effectiveness of an integrated service delivery model as measured by worker retention

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  • Barbee, Anita P.
  • Antle, Becky

Abstract

This study sought to examine the impact of housing child welfare ongoing teams in the community, near client neighborhoods, and in a setting that also co-locates other service providers that serve the same clients. The focus was the impact of location and service integration on perceptions of worker stress and actual worker turnover. Thirty four workers from this type of setting and from a more traditional setting in two urban cities in a Southern state were interviewed. In addition turnover rates were calculated and compared. It was found that those located near clients and with staff from other agencies had better morale, lower stress levels, more positive attitudes toward clients and client contexts, knew more about the communities the clients lived in and had more chances to collaborate to solve client problems than those in a more traditional setting with co-location only with family support staff. The turnover rate was lower in the integrated service delivery setting than in either the traditional setting or the state overall. Thus, integration of service delivery benefits not only the child welfare workforce participants, but also the clients who have greater access to other service providers and to the bottom line of the agency through the retention of workers. Implications are described.

Suggested Citation

  • Barbee, Anita P. & Antle, Becky, 2011. "Cost effectiveness of an integrated service delivery model as measured by worker retention," Children and Youth Services Review, Elsevier, vol. 33(9), pages 1624-1629, September.
  • Handle: RePEc:eee:cysrev:v:33:y:2011:i:9:p:1624-1629
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    References listed on IDEAS

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    1. Curry, Dale & McCarragher, Timothy & Dellmann-Jenkins, Mary, 2005. "Training, transfer, and turnover: Exploring the relationship among transfer of learning factors and staff retention in child welfare," Children and Youth Services Review, Elsevier, vol. 27(8), pages 931-948, August.
    2. Smith, Brenda D., 2005. "Job retention in child welfare: Effects of perceived organizational support, supervisor support, and intrinsic job value," Children and Youth Services Review, Elsevier, vol. 27(2), pages 153-169, February.
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    1. Meloy, Mary Elizabeth & Phillips, Deborah A., 2012. "Rethinking the role of early care and education in foster care," Children and Youth Services Review, Elsevier, vol. 34(5), pages 882-890.
    2. Meloy, Mary Elizabeth & Lipscomb, Shannon T. & Baron, Madeline J., 2015. "Linking state child care and child welfare policies and populations: Implications for children, families, and policymakers," Children and Youth Services Review, Elsevier, vol. 57(C), pages 30-39.
    3. Smith, Carrie & Fluke, John D. & Fallon, Barbara & Mishna, Faye & Decker Pierce, Barbara, 2017. "Role specialization and service integration in child welfare: Does organizational structure influence the decision to refer to supportive services?," Children and Youth Services Review, Elsevier, vol. 82(C), pages 139-148.
    4. Orsi-Hunt, Rebecca & Harrison, Courtney L. & Rockwell, Kayla E. & Barbee, Anita P., 2023. "Addressing secondary traumatic stress, burnout, resilience and turnover in the child welfare workforce: Results from a 6-month, cluster-randomized control trial of Resilience Alliance," Children and Youth Services Review, Elsevier, vol. 151(C).

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